[IzzyB2]

Hello,

I am new to this forum. I saw my dentist a week ago yesterday for a cavity filling on my upper left back molar. I have CVID and told him I was on antibitics and decongestant for a sinus infection and ear infection. I asked him if it would be ok to the the filing on the upper tooth so close to my sinuses. He assured me all would be well and the filing began. Well a week later I am having a dull pain in the area around the tooth and alternating hot/cold sensitivity and it intermittently hurts to chew on that tooth. I called my dentist (who has been my and my husbands dentist for almost 6 years) and told them what I was experieincing. I thought maybe the filling was off or something. He REFUSED to see me said go so an Endotonist you need a root canal. I was like dont you even want to see me so you can make sure it is nothing wrong with the filling or something before I go thru the expense of going to an Endontist. HE said no and still refused to see me. Help...what should I do? I had NO pain from that tooth at all before he filled the cavity. Any suggestions?????

[Dr. Smith]

Maybe not what you want to hear—I'd go see the endodontist. I had a deep filling a few months ago, but the dentist cautioned me ahead of time that while he thought the filling would work, there was a possibility it wouldn't, in which case I'd go directly to a dental surgeon for root canal. So it may have been a case of poor communication/manner on the dentist's part.

My filling tooth is also sensitive to heat & cold. Dentist had me come in for a look, poked, prodded & thumped around (no pain), and said it happens sometimes—three alternatives:

1. Live with it.
2. Get/use something like Sensodyne toothpaste
3. Get a dental sensitivity coating on the tooth (~$75)

So far, I'm using the toothpaste & living with it.

Doc

[IzzyB2]

My dentist is REFUSING to see me....only referring me to an endodontist. I feel like he should see it before I go to the other Dr. But it seems that I may just go to calm my nerves. I have read alot both for root canal and for just giving it time. I already use Sensodyne have for 10 years. I had a bad feeling aobut the cavity while I had a sinus infection. At the end of the day I thinki this dentist messed up by doing this cavity at this time he might have better waited until the infection cleared up. I have the identical filling on the right side and never had one problem and the same dentist did that one. Feeling really let down by my dentist I feel pushed off :-(

Thanks for the response :-)

[Ashley13]

Izzy, I think you should wait for Bryana to respond. She is a dental professional and she's very knowledgeable.

[Bryanna]

Hi Izzy,

I am in the dental field and can offer you some help here.

It sounds like your dentist is dismissing your complaints and pushing you off onto the endodontist which may cost you an unnecessary root canal.
Did he at any time tell you the tooth was infected or that the cavity or filling was very deep or near the pulp......did he explain to you that the filling could just be too high and need to be adjusted.... or did he tell you that your sinus issue could be what is causing your tooth pain?

Perhaps the best thing to do is to see another general dentist to evaluate your tooth. It would be beneficial to have your xrays sent to this new dentist and then let him take a new one at your appointment to compare before and after the filling.

If the new filling is too high, then a slight adjustment may be all that is needed. If the pain is due to your sinus, then the sinus problem needs to be dealt with. If the tooth is infected it is possible that the infection was brewing long before the filling was done irrelevant of whether you had symptoms or not and the infection could have actually spread to your sinuses.

As you probably know, people with CVID have difficulty fighting infections. If your tooth is infected you will be given two options ... root canal treatment or extraction. It is important for you to know that the root canal procedure does not cure the infection because there is no access to the many hundreds of microscopic canals inside of the tooth. These canals will contain necrotic nerve tissue causing the tooth to be chronically infected. The bacteria can spread to the jaw bone, to the sinus and beyond. Extracting the tooth means to remove the source of the infection so healing can take place.

Although every patient should be warned of these things, you may not or may not be given this information by a dentist. So be sure to let the dentist know that you have CVID and you are concerned about chronic infection as that may prompt him to be more open with this information.

I hope this information was helpful to you.

Bryanna

Originally Posted by IzzyB2

Hello,

I am new to this forum. I saw my dentist a week ago yesterday for a cavity filling on my upper left back molar. I have CVID and told him I was on antibitics and decongestant for a sinus infection and ear infection. I asked him if it would be ok to the the filing on the upper tooth so close to my sinuses. He assured me all would be well and the filing began. Well a week later I am having a dull pain in the area around the tooth and alternating hot/cold sensitivity and it intermittently hurts to chew on that tooth. I called my dentist (who has been my and my husbands dentist for almost 6 years) and told them what I was experieincing. I thought maybe the filling was off or something. He REFUSED to see me said go so an Endotonist you need a root canal. I was like dont you even want to see me so you can make sure it is nothing wrong with the filling or something before I go thru the expense of going to an Endontist. HE said no and still refused to see me. Help...what should I do? I had NO pain from that tooth at all before he filled the cavity. Any suggestions?????