I have a tooth which I was told was cracked years back. I never actually had any type of injury causing the tooth to crack. And I never had any pain in the tooth in question. It was my dentist of the time who told me the tooth had a fracture, and that a crown should be put on to save the tooth. So I had the crown done, but afterwards I had terrible pain while chewing. This went on for many months, with the dentist trying bite adjustments, and the pain only getting worse. At last I had a root canal done and a new crown put on. This brought some relief, but I have still had periods over the past years where the tooth seems to "act up" and gives me pain. And I always notice pain when eating certain foods, like a fried corn tortilla, if I bite down on that tooth. I've found using something like Sensodyne usually makes things more manageable if the tooth acts up. At a time when it was causing me pain a couple of years ago, I went to my endodontist who did bite tests, heat and cold tests and x-rays on the tooth, none of which showed a problem. I did not feel any pain during the test. Yet for whatever reason I've continued to have problems on and off when chewing.
Anyway, lately things seem to have taken a turn for the worse. For a few months now I have consistently had pain which seems sharper and more consistent than ever before, and sensodyne doesn't help. I seem to experience pain only when chewing while eating something which is hot, and whether I get pain or not depends a lot on the texture of the food I'm chewing. The pain lasts only for so long as I bite down, making contact with the tooth. I do not notice pain when not chewing, or when eating cold things. In fact if I let my food cool a bit before eating it and then chew, I won't have pain in that tooth. Does anyone know what might be going on here and what I can do? Does this mean I'm going to have to have the tooth extracted and there's no way around it?
Is that something which is done? I hadn't heard about it. Couldn't it cause problems with my bite?
The tooth in quesiton is one of my back molars, so one of the main teeth I use for chewing.
I'll bring it up with my dentist.
Velv, did you see a root canal specialist when you had the root canal done?
I would see one now because he/she may be able to retreat it. That's an option... I have a molar (#30) that has been RCT'd 3 times. The third time was the charm, and of course, done by the specialist!
Taking the tooth out of occlusion would keep it from getting pounded on by the tooth above it, AND allow you to keep the bone on your jaw. As far as messing up your bite.. out of occlusion vs. pulling? KEEP THE TOOTH!
Unless the original crack has separated the tooth in half.. then there's no saving it. See the endodontist.
Yes, the original crown on the tooth was done by my dentist. But when he saw I was having pain chewing which wasn't going away he referred me to an endodontist, who did the root canal. I have seen the endodontist before about the discomfort in the tooth, but all tests checked out and he said it looked good. In fact as I think I mentioned above at that time I didn't even respond negatively to the bite and heat and cold tests, even though I was still having pain for some reason when chewing at different times!
Anyway, will definitely make another appt with the endo for a checkup. Thanks for all your input.