Re: for anyone who has had a deep filling
Gel-Kam is a prescription strenth toothpaste usually given to people who suffer from Xerostomia (dry mouth) to help prevent cavities. The high levels of fluoride help strengthen teeth and reduce sensitivity where there is exposed dentin.
I'm glad to hear about your success with the gel-kam. Other things people might try are "ACT Fluoride rinse" an over the counter rinse, or another prescription toothpaste called Prevident 5000+.
Kellie2 - You should know that after a deep filling, sometimes the pulp, the nerves and blood vesels of a tooth, become irritated and inflammed, either because of irritation from the procedure, or because bacteria got into the pulp from the cavity you had. It can also be caused because the filling is close to the pulp and is transmitting cold sensations directly to the pulp. This is called reversible pulpitis, and may go away with time. Sometimes this can be caused if the filling was too high, and you are "hitting" harder on that tooth than before. Your dentist should check to make sure, and adjust the filling if that is the case. If the pulp is not able to heal, then a situation of chronic inflammation begins. This is called irreversible pulpitis. Symptoms of this include lingering pain to cold, and spontaneous pain (like waking you up in the middle of the night). If no treatment is received, eventually the pulp will become necrotic (it dies). When this happens, all the symptoms will go away. This is because all the nerves have died. But what is actually happening inside your tooth is that bacteria have made themselves a nice little home and are breeding inside your tooth. Eventually, (maybe weeks, maybe YEARS) they will spread out into the surrounding tissues, and you will end up with an abcess. In severe cases, you'll get the swollen face, etc. I sincerely hope this isn't the case with you. BUT, I really think you should go to your dentist and have him (or her) take an x-ray to see if a lesion is forming around the root of the tooth, and do something called "pulp testing". To so this, they take hot and cold and apply it to the tooth in question and compare it to the reaction of other teeth in your mouth. This will let them know if the tooth is healthy and cured, (Thanks gel-kam!) or if you have a serious problem brewing. If your dentist does a lot of root canals in their office (instead of refering them to a specialist), they will probably have a machine called an EPT, which tests to see if the tooth is necrotic.
I really hope that your tooth is alive and healthy, but you should get it checked just in case!
Cross your fingers!!!!
Last edited by toothbud; 08-04-2006 at 06:56 AM.