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Message
Posted by David on July 13, 2000 at 00:33:11:

In Reply to: Another lost tooth? Why? posted by Frank on July 12, 2000 at 18:20:43:

: I'm 35 and having the same trouble as Desparate. I had a root canal about 10 years ago and in May I got a massive abcess and lost that tooth. I went back last week to start work on the bridge to replace the tooth and 3 days later, the tooth next to the one I lost started to hurt. The doc was great because he came in at 8:45pm to check it out and saw the beginnings of another abcess, so he did a root canal (that was last night). Today, I'm in tons of pain much like the first abcess. Much like Desparate, I don't know what's going on either. My Dentist said he has no explanation for this. I'm afraid now I'm going to lose another tooth and go through the same nightmare I went through on the first tooth. If anyone can let me know what the problem I have is, PLEASE HELP!!!!

Hey Frank (and Desperate):
Here's my two cents worth. There are basically one of several
possibilities with regards to your problems. Here are some things to
consider:
1. The most probable explanation is that you are either clenching
and grinding your teeth, or your dietary habits are causing problems
to your teeth. These problems are known as CRACKS in the teeth.
2. You are actually suffering from sinus or other problems that are
being misdiagnosed, or mistreated (although this is a lower probability).
Sinus problems can mimic dental pain, but I cannot believe that your
case fits into this category.
3. You may fit into a category of individual whose teeth will not accept
root canal therapy. Once again, a low percentage chance for this.

Let's look at Frank's symptoms:
1. He had RCT done 10 years ago. Was the tooth crowned after that
procedure? If not, then the chance of cracking the tooth is very high,
perhaps 75%+. However, even with a crown, the tooth can still crack.
2. The tooth is removed, so a bridge (preparation) is started. Three
days later, a second tooth flares up. The dentist says he sees an abscess,
but the chance of an abscess starting in three days is fairly low. Bacteria
would take 2-4 weeks to start causing an abscess. So, the abscess must
have been present prior to the bridge work. Therefore, something must have
irritated the nerve previously, like a........CRACK (perhaps)
3. Well, if the tooth is cracked, get your checkbook out, as you'll pay for
the RCT, crown or bridge, then the extraction of the tooth you just paid
for. The trick is to nail down the diagnosis. Cracks can be detected in
many ways: 1)with a stain 2)with pain 3)or visualization after extraction.
4. Was the tooth that was removed carefully checked for cracks by an
expert in crack detection?

Some solutions:
1. Cracks and fractures are at epidemic proportions in the US. Daily life
stresses, kids, spouses, etc cause us to grind our teeth. Cracks are like
potato chips, you can never have just one. Afterall, to crack one tooth
you must be chewing against another tooth.
2. Stop your grinding and clenching, and get a bite guard.
3. You must soften your diet. Gum chewing, raw carrot stick eating,
bagels, pretzels, ice, etc, etc, etc, cause cracks in teeth. Why don't
you ever see these reports on TV? The manufacturers would lose
money and pull ads from the television stations.
4. Don't alternate from hot to cold foods. Drastic temperature changes
cause expansion and contraction of fillings and teeth, and cause
CRACKS.

Just a few ideas, but I could be wrong about your case(s).
Good Luck to both of you (and others)
David

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