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jctransfi 02-22-2012 08:43 PM

Tooth Sensitivity
 
Hi everyone,

Just wanted to find out if anyone has the same experience and can give some advice.

I cracked a pair of teeth 1 molar and another one next to the canine's a few months back. I didn't experience any pain and as anyone who doesn't like going to the dentist I just ignored it. :( About two weeks ago pain started creeping in and reached a point where it was unbearable.

So I went to the dentist. Basically both teeth were cracked beyond saving so my dentist suggested pulling the tooth instead of a root canal. The dentist proceeded with the anesthesia and all but unfortunately couldn't as there was extreme pain with even the slightest of pressure. She advised on not pulling the tooth due to the pain and upon further examining it was determined that the pulp was exposed and the beginning of pulpitis was already showing.

One option she was suggestion was to wait for the pulpitis to subside before pulling the tooth. Anyway, the pain isn't as bad now and only when it is hit by cold. There's some throbbing every so often as well.

I know this post was long and thanks in advance for taking the time to read. Hoping people can share their experiences.
Thanks.
JC

Catrina21 02-23-2012 10:36 AM

Re: Tooth Sensitivity
 
Which teeth are you talking about? If they both fractured, it is most likely due to severe decay, which may have been present for years. One can have severe, deep decay without pain, but it will eventually catch up and from that point on, cannot be ignored.

Pulpitis (inflammation of the pulp tissue inside the tooth), it if has gone to the state of an infection, can often render local anesthesia impossible until the infection is cleared up. The only way to do this is to take a full course of antibiotics, and then do the treatment, whether it be endo and a crown or an extraction. If your teeth are beyond saving, then it sounds like the fractures may be quite severe, leaving little tooth structure to work with.

The standard practice when a patient is in pain and cannot be treated, is to put them on antibiotics and pain meds until the inflammation/infection subsides and then to treat the tooth. There is no reason for you to feel pain when being treated, but these things CANNOT be postponed just because your pain may come and go. It will not resolve or improve on its own, once reaching the state of disease implied by your description, if I am reading your post correctly. Once the pulp chamber has become exposed, its integrity is forever compromised by the presence of bacteria and your options are either a root canal (to remove the diseased pulp and sterilize the chamber of the tooth) or to extract it.

I also understand and sympathize with those that have dental anxiety, so find out if your dentist has Nitrous Oxide available ("Laughing Gas") for use during treatment. This would be an option to consider and is one of the safest methods of anxiety control available. [It also makes the dentist's job easier and safer to have a relaxed patient.]

Lastly, if this is a financial hardship, consider having the treatment done at a dental school. The schools treat patients for a fee (adjusted according to your financial situation), and treatment takes longer than when done commercially, but the care provided is excellent and involves students and instructors.

I am sorry that this has happened, but please don't ignore it any longer, as it will only worsen, and the infection can spread throughout your body (through your bloodstream) and have serious complications for your heart and other internal organs.

Best of luck.

Catrina

jctransfi 02-27-2012 12:13 AM

Re: Tooth Sensitivity
 
Hi Catrina,

Thanks for the reply. Indeed, both teeth have severe fractures already and my dentist has ruled out saving the tooth. I am already on antibiotics now and hopefully can get my tooth pulled soon. I am in fact greatly worried about complications of an infection as one of my friend's relative died of an abscessed tooth. :(

Anyway, your reply was great and thanks again.

JC


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