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Robert
Posted: Wed Apr 16, 2008 10:07 am
Guest
I had a good amount of restoration work done last year, and since then have
had intermittent discomfort in all my lower molars. Nothing shows up on any
x-rays. Short of opening up each tooth, is there any way to determine
which ones, if any, have pulp infections? I don't want to do the
hunt-and-peck method of root canal therapy.
George
Posted: Wed Apr 16, 2008 10:07 am
Guest
On Apr 16, 4:07 pm, "Robert" <guyinc...@NOSPAMyahoo.com> wrote:
Quote:
I had a good amount of restoration work done last year, and since then have
had intermittent discomfort in all my lower molars. Nothing shows up on any
x-rays. Short of opening up each tooth, is there any way to determine
which ones, if any, have pulp infections?  I don't want to do the
hunt-and-peck method of root canal therapy.

You could start with some pulp vitality tests (cold, electrical), but
they're not 100% accurate.

Regards,
George
Robert
Posted: Wed Apr 16, 2008 2:31 pm
Guest
Quote:
"George" wrote in message
news:da24cf9f-6058-4bd0-9a06-486112c4a884@m73g2000hsh.googlegroups.com...
On Apr 16, 4:07 pm, "Robert" <guyinc...@NOSPAMyahoo.com> wrote:
I had a good amount of restoration work done last year, and since then
have
had intermittent discomfort in all my lower molars. Nothing shows up on
any
x-rays. Short of opening up each tooth, is there any way to determine
which ones, if any, have pulp infections? I don't want to do the
hunt-and-peck method of root canal therapy.

You could start with some pulp vitality tests (cold, electrical), but
they're not 100% accurate.

Thanks for the suggestion, but those tests all seem good too. That is the
infuriating thing. I am envious of the people who have sharp pains in one of
their teeth Smile
Mark & Steven Bornfeld
Posted: Wed Apr 16, 2008 3:01 pm
Guest
Robert wrote:
Quote:
I had a good amount of restoration work done last year, and since then have
had intermittent discomfort in all my lower molars. Nothing shows up on any
x-rays. Short of opening up each tooth, is there any way to determine
which ones, if any, have pulp infections? I don't want to do the
hunt-and-peck method of root canal therapy.







It is altogether possible that you have no infections, exp. if these
are large resin fillings. Placement is very technique-sensitive, and
imperfect bonding can lead to sensitivity.
As far as the swollen lymph nodes, these should be checked out. It can
certainly be something other than the teeth.

Steve

--
Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001
Dartos
Posted: Wed Apr 16, 2008 4:53 pm
Guest
Quote:
It is altogether possible that you have no infections, exp. if these
are large resin fillings. Placement is very technique-sensitive, and
imperfect bonding can lead to sensitivity.

Steve


I wouldn't even us the word "very". However poor technique, poor choice
of materials, and/or poor isolation can sure screw it up.

Should no longer be true, but it is still an issue with some dentists.

:-(
D
Guest
Posted: Wed Apr 16, 2008 7:13 pm
On Wed, 16 Apr 2008 16:53:21 -0500, Dartos <tuthjockey@myturbonet.com>
wrote:

Quote:



It is altogether possible that you have no infections, exp. if these
are large resin fillings. Placement is very technique-sensitive, and
imperfect bonding can lead to sensitivity.

Steve


I wouldn't even us the word "very". However poor technique, poor choice
of materials, and/or poor isolation can sure screw it up.

Should no longer be true, but it is still an issue with some dentists.

:-(
D


You can check with an endodontist.

www.aae.org
Robert
Posted: Wed Apr 16, 2008 7:22 pm
Guest
"Dartos" wrote in message news:1208369756_8482@news.newsville.com...
Quote:

I wouldn't even us the word "very". However poor technique, poor choice
of materials, and/or poor isolation can sure screw it up.

Should no longer be true, but it is still an issue with some dentists.


Thanks for the reply. Would should I consider doing? I assume that having
the resin fillings replaced would put undue additional trauma on them.

Would a dental CT scan be of any help? Would it show infections that a
regular x-ray would not?
Robert
Posted: Wed Apr 16, 2008 7:23 pm
Guest
"Mark & Steven Bornfeld" wrote in message
news:PWsNj.6207$nT1.360@trndny09...
Quote:

It is altogether possible that you have no infections, exp. if these are
large resin fillings. Placement is very technique-sensitive, and
imperfect bonding can lead to sensitivity.
As far as the swollen lymph nodes, these should be checked out. It can
certainly be something other than the teeth.

Thanks very much for the reply. Are swolen lymph nodes a frequent symptom of
pulp infection?

Would a dental CT scan be of any use? Would it show infections that a
regular x-ray would not?
Steven Fawks
Posted: Wed Apr 16, 2008 9:20 pm
Guest
With a sample size of ONE, I had a fellow with 8 new restorations
that caused a lot of pain. I replaced all 8, and 7 of them had
perfect results. One ended up with a root canal. He still has
all of his teeth and he is doing fine 10 years later.

JME,
Steve

Quote:
"Dartos" wrote in message news:1208369756_8482@news.newsville.com...

I wouldn't even us the word "very". However poor technique, poor choice
of materials, and/or poor isolation can sure screw it up.

Should no longer be true, but it is still an issue with some dentists.



Thanks for the reply. Would should I consider doing? I assume that having
the resin fillings replaced would put undue additional trauma on them.

Would a dental CT scan be of any help? Would it show infections that a
regular x-ray would not?

Steven Fawks
Posted: Wed Apr 16, 2008 9:21 pm
Guest
Robert wrote:

Quote:
Would a dental CT scan be of any use? Would it show infections that a
regular x-ray would not?



I doubt it would help much. Diagnose the teeth and forget the CT scan.

JMO,
Steve
Steven Bornfeld
Posted: Wed Apr 16, 2008 9:33 pm
Guest
Robert wrote:
Quote:

Thanks very much for the reply. Are swolen lymph nodes a frequent symptom of
pulp infection?

Fairly common. However, it is unlikely that swollen nodes would be the
only sign. The nodes are regional, and can drain from a variety of
structures. IIRC, the lower molars drain to the submaxillary nodes
under the angle of the jaw. The upper molars may drain to one of the
jugular chains. But the pharynx also drains to the same nodes, so
swollen nodes are of limited use in diagnosing dental infection--the
dental infections would be one POSSIBLE cause to rule out.
Quote:

Would a dental CT scan be of any use? Would it show infections that a
regular x-ray would not?

Very unlikely. Agree with Fawks.

Steve
Quote:




Robert
Posted: Fri Apr 18, 2008 7:36 pm
Guest
"Steven Fawks" wrote in message news:1208386150_8852@news.newsville.com...
Quote:

With a sample size of ONE, I had a fellow with 8 new restorations
that caused a lot of pain. I replaced all 8, and 7 of them had
perfect results. One ended up with a root canal. He still has
all of his teeth and he is doing fine 10 years later.

Interesting. What kind were they and what did you replace them with, if you
don't mind my asking? Did you replace Resin with Resin, or something else?
Can the Resin fillings actually kill the pulp?

One thing that really concerned me is that one of the resin fillings had
extensive decay under it less than one year later. God knows what is going
on underneath the others.
Robert
Posted: Fri Apr 18, 2008 7:37 pm
Guest
"Steven Bornfeld" wrote in message
news:3OudndbrGu94K5vVnZ2dnUVZ_umlnZ2d@earthlink.com...
Quote:
Robert wrote:

Thanks very much for the reply. Are swolen lymph nodes a frequent symptom
of
pulp infection?

Fairly common. However, it is unlikely that swollen nodes would be the
only sign. The nodes are regional, and can drain from a variety of

I would assume that if the infection went as far as causing swolen lymph
nodes that something would turn up on the x-ray. Is that true? Thanks.
Steven Bornfeld
Posted: Sat Apr 19, 2008 3:19 pm
Guest
Robert wrote:
Quote:

I would assume that if the infection went as far as causing swolen lymph
nodes that something would turn up on the x-ray. Is that true? Thanks.




It would seem likely, but I wouldn't bet on it. You might well have an
inflammatory node soon after developing a pulpitis, and before there is
a chance for bony destruction (which is after all what you're looking
for on x-ray, among other things).
But again, I want to stress that something other than a tooth may cause
swollen nodes in this location.
I will be blessedly away from my computer for the next week--best to all!

Steve
Amatus Cremona
Posted: Mon Apr 21, 2008 7:37 am
Guest
Quote:
One thing that really concerned me is that one of the resin fillings had
extensive decay under it less than one year later. God knows what is going
on underneath the others.

I saw that quite a few times in the mouth of a gentleman from the UK.
 
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