Thread: Right Decision?
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Old 09-26-2013, 06:40 PM
carmellaann carmellaann is offline
Junior Member
 
Join Date: Apr 2012
Posts: 13
10 yr Member
carmellaann carmellaann is offline
Junior Member
 
Join Date: Apr 2012
Posts: 13
10 yr Member
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Quote:
Originally Posted by Bryanna View Post
Hi carmelaann,

You are not rambling.... it's all good )

My concern about this tooth is that the cracks you speak of may be crazing lines which is a common thing for many people. The pain that you feel may be due to decay underneath the old filling which is a typical find underneath old metal fillings. But the decay may or may not be into the pulp. If he were to remove the filling, he would then have a better idea of the health of this tooth. If the decay is deep and he cannot remove it without injuring the pulp then have the tooth removed. If it's not that deep then have him remove the decay and place a temp crown on it for several weeks and see how it goes.

I think that may be a viable option based on what you have described here.

What are your thoughts on that?

Bryanna
You know, my old dentist would do just that--the first time, I went for about a week after he opened the deep cavity, cleaned out, and refilled. He even filled and closed with the cerac stuff...one week. That lead to my first ever root canal. The second time, it lasted about two years and resulted in an abscess with fistula, agonizing pain and extraction. My new dentist did not even offer to do this. He just offered a temp crown. Honestly, I have been through so much with dental pain from abscess...had he offered it, I would have probably just turned it down. The fillings are wide and deep...just awful. I would be afraid of bothering the nerve even more...and then having to live through a week of let's see if it calms down and then triggering facial nerve pain...gah. I guess I answered my own question(s). Thank you for the suggestion, though. I think I am beyond trying to save teeth that are beyond saving by buying a year or two. I'm 51 years old...never thought in a million years I would be staring down partials and dentures--but here I am.

I was thinking...just two years after my braces were off and that summer my general dentist filled ten deep and wide cavities with metal fillings--when I turned 19 was the onset of my Rheumatoid Arthritis. I do have a genetic predisposition--my dad had what they called polyarthritis back in the day...but I can't help but wonder if the metal fillings and all the mercury may have been a trigger. I know some schools of thought would say yes to that.

As an aside, my doc wants to make me a night guard to maybe stave off worsening off the crazing and cracks. They are quoting a price of $510. He says he thinks this might buy me 5 years before partials. I do grind at night all the most of the teeth I used to grind are gone now. He said this would protect me from grinding on what is left...thoughts? I have no idea the price of these things. I would spend the money to protect what I have left if that's what a custom night guard costs.

Thank you for your considered opinion on tooth 15. It goes on Oct. 8. I am praying it is as easy and pretty much pain free as my last two extractions!
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