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  • Please HELP!!! Desperate, Still Pain

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    Old 05-30-2003, 08:58 PM   #1
    Marie79
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    Exclamation Please HELP!!! Desperate, Still Pain

    Hi, I am in desperate need of some advice.

    Over two months ago, my dentist told me that I needed to have a filling replaced. He claimed the filling was too large to be replaced with another filling and that I would need a partial crown instead. I had had no problems with that tooth and had experienced absolutely no pain. But the dentist claimed the old filling had decay and needed to be replaced.

    The DAY he took that old filling out and put on the temporary, that tooth hurt like nothing else. I couldn't even chew on the left side of my mouth it hurt that bad. I went back to the dentist, and he said the pain was due to having the temporary, and once he put the permanent on, the pain would go away.

    So I wait two weeks plus I believe until I get the permanent on. After the numbing wears off from the dentist putting on the permanent partial crown, the tooth still hurts. But I gave it a week to see if the pain would go away before calling the dentist back. It didn't.

    So I go back to the dentist a fourth time at this point to tell him it STILL hurts, even though I have the permanent on. He said the pain was possibly due to having a Partial crown, which is not as sturdy as a full crown, and that's why I'm having pain. He wanted to give it two more weeks and if still painful, he would replace the partial crown with the full crown at no cost.

    Two more weeks later, it still hurts. I go back and he takes off the partial, takes more impressions, puts on a second temporary, and says to call him if it still hurts.

    A week later, it's still hurting. I call back and now he says I need a root canal. He explained why he thought I needed a root canal. I was very upset and told him so.

    I got the root canal done on this tooth last week by another dentist (my dentist doesn't do root canals on back molars apparently). The other dentist told me even though I had a root canal, the tooth may still hurt "for a few days". It did of course.

    Two days ago, I go back to my regular dentist to get the permanent crown put on, and he chips it by accident. Says he needs to have his lab create a THIRD one. So he puts on a THIRD TEMPORARY.

    Now, two days later, the tooth STILL HURTS!

    WHAT is going on?? How can it still hurt if there is no root there?? Please help! I have spent so much on this one stupid tooth and used up my entire dental insurance for the year, now everything else is out of pocket. What is going on???

    I had NO problems with this tooth prior to him working on it, now I'm heading into three months of pain and I see no end in sight. Please help.

     
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    Old 05-31-2003, 10:51 AM   #2
    Marie79
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    Red face

    No one has any advice for me?? Am I stuck?? Please help!

     
    Old 05-31-2003, 12:48 PM   #3
    DonnaDe
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    Quote:
    Originally posted by Marie79:

    The DAY he took that old filling out and put on the temporary, that tooth hurt like nothing else. I couldn't even chew on the left side of my mouth it hurt that bad. I went back to the dentist, and he said the pain was due to having the temporary, and once he put the permanent on, the pain would go away.

    OK, hold it right there. This is NONSENSE! Part of the reason for the temporary crown is to make sure there are no problems before cementing on the permanent crown. You don't put on a permanent crown if the patient is experiencing pain, sheesh!

    You were probably in pain because the dentist drilled too close to your nerves (sometimes this can't be avoided) and they were exposed. That's why you needed the root canal.

    I can't believe your dentist would again crown the tooth when it still hurt. How was the permanent crown going to alleviate the pain? Magic?

    What kind of pain are you now experiencing? Does it feel like a nerve? It's possible that the dentist who did the root canal missed a canal. If it feels like something else, it could be that the crown is too high or that it isn't fitting properly.

    From what you've said, I don't have too much faith in your dentist. I've never had a dentist put on a permanent crown without making sure there were no problems with the temporary. If you're experiencing pain, hello, you don't glue the permanent on anyway.

    You might consider going to another dentist, even though you'll have to pay for it, which would really get my goat! But your current dentist doesn't seem to know what he's doing.

     
    Old 05-31-2003, 12:49 PM   #4
    Cutler
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    Hi Marie,

    Your dentist doesn't sound to be terribly competent. That he would send you to another dentist to do a root canal (something any competent dentist should be able to do on any tooth) should have raised a flag. You might want to consider taking your dental business elsewhere.

    Cutler

     
    Old 05-31-2003, 02:49 PM   #5
    DonnaDe
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    I'm ALWAYS referred to a specialist for a root canal. I wouldn't dream of letting a regular dentist perform one I'll take the person who makes a living doing root canals than the one who performs them once in a while.

    Being referred to a specialist isn't a sign of incompetence Trying to repeatedly crown a tooth that is hurting, is

     
    Old 05-31-2003, 03:29 PM   #6
    Cutler
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    A competent dentist should be able to do a root canal successfully. If we don't agree on that at least we agree that Marie's dentist doesn't seem to know what he is doing

    [This message has been edited by Cutler (edited 05-31-2003).]

     
    Old 05-31-2003, 05:47 PM   #7
    Marie79
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    My dentist referred me to a specialist for the root canal. The specialist cost was almost $1,000. I could not afford that. So I went to my parents' dentist, who they have been going to for 25 years, and he did the root canal for $650. I didn't go to him just because the price was cheaper, but because he came highly recommended by both my parents.

    When I went back to my regular dentist to get the second permanent crown put on, he chipped it by accident and now I need to go back yet again. But he did do the "build up" in my tooth from the root canal, and put on yet another temporary.

    My dentist said I needed a root canal because most likely the root was exposed or inflamed or something, because he couldn't see anything wrong in my x-rays. My parent's dentist, the one who did the root canal, also said he could not see anything wrong with that tooth, so it must have been the nerve, and he agreed that I also needed a root canal.

    Now, it still hurts. I'm scheduled to get the permanent on next Tuesday. If it's still hurting by then, what's left? Two dentists now have said they see nothing wrong with my x-ray.

    What could be causing this pain when there is no root?? I just don't get it.

     
    Old 05-31-2003, 06:53 PM   #8
    DonnaDe
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    Quote:
    Originally posted by Marie79:
    What could be causing this pain when there is no root?? I just don't get it.
    I already answered that The dentist could have missed a canal on the root canal. Some teeth have "hidden" canals that don't show up on X-ray. A root canal specialist is trained to look for these canals.

    I've had a bunch of root canals done by specialists, and never had a problem. The one time I had my regular dentist do it (because he insisted it would be a piece of cake) I continued to have horrible pain afterwards. He kept insisting everything looked fine and maybe I had a sinus problem (yeah, right, WHAT a coincidence...) When I got fed up and saw a root canal specialist, she rolled her eyes at what he said, found the missed canal, and redid the root canal. Voila, end of pain.

    Anyway, DON'T get the permanent crown put on if your tooth hurts. That makes no sense at all.

     
    Old 05-31-2003, 07:01 PM   #9
    Marie79
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    DonnaDe,

    I have read (on the internet) that a back molar can have 2-4 canals. The dentist that did my root canal said I had 4 canals. Is it really possible that I have an invisible 5th canal that he missed?

    I have been doing some research on the internet, and this is what I have come up with. I value your advice, please give me your opinion.

    The person asking this question could be me because my problem tooth is also tooth #19, but I don't have dull aches and pains throughout the day, it only hurts when I chew something hard like candy.

    " Q: I had a root canal done 6 days ago on molar #19 (if that helps). I still have the dull ache off and on in that tooth that brought me to my endodontist in the first place. He said the x-rays were inconclusive, so suggested a root canal. It's a very dull throb, doesn't even keep me up at night, or so far hasn't gotten worse. I was hoping it would go away after the root canal. I'm now discouraged. It is off and on several times throughout the day. Why? I'm beginning to think it didn't even help. Any ideas?

    A: Performing a root canal on a hunch is, by our estimation, rather presumptuous. It is always safer to proceed from a diagnosis to a treatment, rather than to use a treatment to confirm a diagnosis. There are three possibilities:

    1.) The diagnosis was correct, the root canal was performed properly, and you're experiencing normal postoperative pain which will disappear with time. This is common.

    2.) The diagnosis was correct, but for some reason the root canal did not eliminate the problem.

    3.) The diagnosis was incorrect, the root canal treatment was inappropriate, and the original problem remains untreated.

    Only time will tell which of the three possibilities applies; let's hope it's #1. If the symptoms persist, a return trip to the endodontist is indicated."

    I am hoping that I am #1. Should I tell my dentist I would like to wait a couple of weeks to get the permanent put on to see if the pain goes away?? I guess that seems like the most viable option at this point.



     
    Old 06-01-2003, 05:56 AM   #10
    DonnaDe
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    Quote:
    Originally posted by Marie79:
    DonnaDe,

    I have read (on the internet) that a back molar can have 2-4 canals. The dentist that did my root canal said I had 4 canals. Is it really possible that I have an invisible 5th canal that he missed?

    Yes, that's what happened to me. My tooth had a fifth canal that the dentist missed. When I asked the specialist how she could find it since it doesn't show up on X-ray, she said, "I'm TRAINED to find it." Alrighty

    You say your tooth only hurts when you bite down on it? Well, bearing in mind that I'm not a dentist (just a person who has spent a zillion hours in the dentist's chair), it doesn't really sound like a nerve problem. Any time I've had nerve problems they weren't related to biting down... they just ached or throbbed on their own. It's a pretty specific pain. Yours sounds more like there is something structurally wrong with the crown or with the tooth prep. Does it feel high at all? Does it touch first when you close your mouth?

    If I was you, I'd wait to have the crown put on. Maybe the pain WILL go away (it's only been a week, right?). I've never had pain after a root canal, but we're all different and maybe your teeth are more sensitive than mine. In any event, it would be in your best interest to wait.

    Good luck! I know how frustrating these things can be.



     
    Old 06-01-2003, 07:01 AM   #11
    DianeTMJ
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    Hello Marie-
    I am going to tell you a bit of my story in regard to my back molar. I had a bad filling, you would not have believed this filling - when the new dentist looked at it he was in tears, it had rough edges on it and big ball that was pushing into the next tooth, the dentist that put it in never cleaned up the filling. I was just having terrible pain. So the new dentist replaced the filling. I was fine just about 6 months, then the pain started coming back. I went to see him, thinking okay maybe a root canal, maybe a crown, with out x-raying it he told me he needed to pull the tooth. I told him I wanted 24 hours to think about it and he would not let me out of the chair and pulled my tooth. To make a terrible story short, after the tooth was pulled the pain just got worse and worse, over two years I saw more then a dozen dentists. In April I was finally told I had TMJ. TMJ can cause ghost tooth pains. I am NOT saying you have TMJ but it might be worth investigating. Some of my other symptoms were headaches, eye pain, numbness running down the jaw line to the lip. Ringing in the ears, dizzieness, vertigo. That is just the short list.
    That back molar is very important to the structure of your jaw and head, so be very, very cautious about anyone wanting to pull it. It was after the pulling that everything started going down hill for me, only made the pain worse. Boy, I had clicked on the wrong link this morning when trying to go the TMJ board. Once my new dentist gets my jaw staplized, which may be up to a year, then we will look at replacing the back molar with a implant.
    Diane

     
    Old 06-01-2003, 04:07 PM   #12
    Marie79
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    Quote:
    Originally posted by DonnaDe:
    You say your tooth only hurts when you bite down on it? Well, bearing in mind that I'm not a dentist (just a person who has spent a zillion hours in the dentist's chair), it doesn't really sound like a nerve problem. Any time I've had nerve problems they weren't related to biting down... they just ached or throbbed on their own. It's a pretty specific pain. Yours sounds more like there is something structurally wrong with the crown or with the tooth prep.
    DonnaDe,

    It is very interesting that you point that out. It always only hurt whenever I bit down on something. It never had just a dull ache or pain. When I closed my mouth tightly, it never hurt, only when I was chewing did it hurt.

    I find it interesting that last night the temporary crown developed a crack. This morning, a portion of the temporary just came off. Since it developed the crack last night, it no longer hurts when I chew something hard on that tooth! I can't believe it.

    Now I think it IS the crown or the glue or something. I did a bunch of research on root canals on the internet last night and I discovered that while the root is now gone, and tissue and gum surrounding that tooth is still very much alive and can cause pain if something else is wrong.

    Now I'm wondering if I even needed the root canal. What a HUGE waste of money!!! I'm going to give it right up until Tuesday to see if continues to not hurt when I chew, if I still have no pain, I'm going to go ahead and get the permanent put on, but I am definitely going to point this information out to my dentist. Now I'm mad.

     
    Old 06-01-2003, 04:13 PM   #13
    Marie79
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    DianeTMJ,

    Thank you for your information. I will definitely think twice should any dentist suggest pulling the tooth!

    What really gets me is that I had had NO problems with this tooth prior to this dentist working on it. No pain at all. I so wish now I had just left it alone!

    The really strange this is, and I swear this is the truth, that when I was driving to my dentist's office back in March when this whole thing started, I got a really bad feeling. Something told me that I shouldn't mess with the tooth since I was having no problems with it. But I overrode my own intuition by telling myself that the dentist is "the expert", I am not. He knows what he is doing. Boy was I wrong!

    I so wish now I had listened to my gut instinct that told me not to let anyone touch that tooth! Now I'm out HUNDREDS of dollars, close to a grand, and used up my entire dental insurance for the year. I got screwed big time.

     
    Old 06-01-2003, 05:21 PM   #14
    DianeTMJ
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    Hi Marie -
    See that was like me, I wasn't feeling anything out of my tooth until the first dentist filled it. Really, bad filling.
    Just be careful, see someone new. If you start experiencing any other symptoms, ear pain, headaches, eye pain etc etc then investigate possible TMJ.
    (I most likely had TMJ but was okay until he worked on that tooth).
    Later
    Diane

     
    Old 06-01-2003, 06:14 PM   #15
    DonnaDe
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    Quote:
    Originally posted by Marie79:
    DonnaDe,


    I find it interesting that last night the temporary crown developed a crack. This morning, a portion of the temporary just came off. Since it developed the crack last night, it no longer hurts when I chew something hard on that tooth! I can't believe it.

    I can believe it. Looks like you found your answer. The temporary was not made right. It shouldn't CRACK. There must have been a spot that was too high and it was hurting to chew on it. The root canal was probably for nothing, I'm sorry to say.

    I just hope the permanent crown is ok. My dentists have always had to fiddle around with them a lot to get them to fit just right. Hope the idiot you go to knows how to do that, but judging from how he put in the temporary...

     
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