when removing a tooth anna you also need to be informed of what the opposing tooth has to bite onto!! if it has nothing then over the years that opposing tooth will contiue to erupt further and further
you sure youve never noticed it!! i'll show you next time i see you!! the internal bleaching works well, just can get the lat bit nearest the gum line to bleach, stays the greyist but its better than not doing it at all! id prefer a veneer, not keen at all on a crown for obvious reasons!!
Janie and Jols the tooth is my top LHS molar, second one in. It was filled when I was 10 by the school dental van and started being hurty after I had C. I put it off (as I do, due to bad memories of dental van persons ) and it got so bad that the filling was replaced not long after R was born to see if that helped with the pain. There was no decay and "innocent cracks" whatever that means!
It dulled it a tad for a while but now it's worse I can only eat on the right ATM. It's hurts from hot, cold and just pressure from eating.
I also have to add that the opposing tooth down the bottom broke when I was PG with R and that was patched and one in the same spot on the RHS broke when I was PG with A (6.5 years ago!). All 4 molars were filled by the dental van and they are all failing now. Thankfully the pain is only on the right or I'd be getting them all ripped out I can't help but think this is the beginning of a lot of dental work.
I can see how the teeth on the right are wearing down too so that is getting me down.
How does one get an appt with an endodontist? Do you need a referral for that and is it claimable with PHI?
Mmmmm. It sounds as though the nerve is hyper-sensitive ATM, which is probably due to a crack. Given that you're experiencing hot sensitivity it tells us that the nerve is not happy. If left unresolved the nerve WILL die. I personally am a big believer in sedative dressings, and think that it would be well worth doing in your case. If a sedative dressing doesn't settle the tooth down, then you know you have no other option. But so, so often, if the right material is used, the dressing settles the tooth enough to then have another filling placed. It's helpful if the dentist can work out which cusp is taking the load of the crack, and remove that cusp when placing the dressing. Has your dentist got you to bite on a stick thing, and got you to tell them where exactly it's uncomfortable? It can be very difficult to detect where exactly cracks are positioned, and they are not visible on x-rays.
It sounds like one of those situations where a crown alone (or possibly an overlay filling) would probably fix the problem. However, given that the nerve is so touchy now, no one is going to want to put a crown on in case the nerve gives up the ghost. That's where a dressing can help, to let you know if the nerve is redeemable . TBH, given that this tooth may have some life in it yet, there is no way I'd just be pulling it out. Yes, it's touch and go, but you might even be able to get away without RCT! So exo seems quite extreme.
Yes, you do need a referral for an endodontist, and it should be claimable on your PHI extras (although you might want to check that). Endos are expensive (what isn't?) so I hope you can claim it LOL!
If you are noticing wear on your teeth, you are likely grinding or clenching your teeth. You can talk to your dentist about having a splint made to wear at night to prevent further wear, this is something that is really commonly done.
As for all the first molars breaking down at similar times, that is because they are teeth that we have from when we're 6! So they're expected to last a very long time. If they are all filled at a similar age, chances are they will break down at the same time too. It is so, so common to see this, we get it all the time. Fillings have a finite life, they do not last forever, and if you've gotten this long out of them, they've done pretty well!!! Unfortunately, you are probably right, if you want to save them you could be up for a bit of dental treatment. Again, a splint can help reduce the wear and tear on these teeth.
Those bl00dy dental vans have alot to answer for hey!!!!!!
Last edited by Janie; September 10th, 2009 at 12:08 PM.
You will need a referral and you should be able to claim any treatment on PHI, not sure about the actual consult though. If you still have pain from it, the root probably hasn't died completely yet but it could just be a crack in the tooth as well - they are sooo hard to see on an x-ray. A full RCT with a porcelain crown at the end of it can be very exxie, but I personally would rather that instead of an implant as I don't fancy someone drilling titanium rods into my jawbone LOL. Another alternative seeing as how it is at the back is to have it pulled and then have a bridge put in to replace it. As time goes on crowns will need replacing so it can be a costly avenue to go down too in the long run. And as was said earlier, having it pulled will mean that over time the tooth above it will descend into the gap, causing more troubles or the molar behind it will move forward etc. I need my top two wisdom teeth pulled as they are starting to descend into the gaps the bottom ones left and it gives me grief from time to time.
If someone in this situation had their molar pulled; but already had all four wisdom teeth, would the wisdom tooth behind the molar move forward to take its place? Or would you get movement issues from all the back teeth?
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) and it got so bad that the filling was replaced not long after R was born to see if that helped with the pain. There was no decay and "innocent cracks" whatever that means!
I can only eat on the right ATM. It's hurts from hot, cold and just pressure from eating.
. TBH, given that this tooth may have some life in it yet, there is no way I'd just be pulling it out. Yes, it's touch and go, but you might even be able to get away without RCT! So exo seems quite extreme.
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