Thread: root canals?
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Old 03-13-2010, 10:19 PM   #74
Apex Paul
 
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Join Date: Oct 2009
Location: Louisville, Ky
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Quote:
Originally Posted by 2000v6 View Post
Alright I gotta find something out though. If teeth stop hurting because there is no nerve in them anymore, then how come people complain about pain? For example some of my gfs (not the one that caused this), some friends, mother, sister complain that they feel pain.
The nerves that supply the lower teeth are all branches of the inferior alveolar nerve, which runs through a tube in your lower jaw and comes out just about the corners of your mouth. Because they all share a common nerver track, it can feel like the tooth that has beeen RCT still hurts, but it is *in theory impossible. I say in theory because if the canal is not fully instrumented, or a second canal existed in a tooth and was unknown and didn't show up on an x-ray you still could have nerve in there. Example: Did a RCT on a nice fellow, placed a temporary filling. He was supposed to come back in two weeks for me to restore the tooth with a crown. He came back after a week complaining that it hurt. I was thinking "no way, dude". However, I opened it up and found a second canal. In a maxillary 2nd premolar! (all my dental buddies would be surprised at this point because of that anatomical oddity) The branches that supply the nerves of the upper jaw have three main branches (sometimes just two) PSA, MSA and ASA posterior, middle and anterior superior alveolar. The middle is not always there, it kind of blends in anatomically with the posterior and anterior.

Quote:
Originally Posted by 2000v6 View Post
Also, I was wondering what are some other options than crowns for teeth that have simply worn down and become jagged? They are in the top left part of my mouth, so I guess that they are molars. They are not chipped or broken, though I didn't get an x-ray done, I made sure to ask my dentist.
If the problem is not too great, chips are superficial, composite build-ups could be done. That would be more for anterior teeth. in the back if you have cracked, chipped teeth on molars then you have a bigger issue. You could be bruxing, clenching. You might benefit from an occlusal guard. You could have a lot of things. again, it is tough to diagnose without seeing someone and their bones.

Quote:
Originally Posted by 2000v6 View Post
I was also wondering how would I go about finding the right endodontist? I mean, I live in nyc where there are hundreds of thousands of private practices that happen to do root canals. Even when I narrow it down to just the endodontists that's still a s***load of them
The best thing you could do is ask a friend. Someone who has been to see them. Or, call a dental office and ask if they do endo. If they say no, ask who they refer their patients to. Maybe you could get a consensus if you call several docs in one area.

Quote:
Originally Posted by PQ View Post
If you get a few side by side then yes, they feel weird for a while. Weeks and even months. The ones on my top left still feel a little funny. Almost like they are loose, yet they are definately NOT loose.

As far as do they hurt, that's where my teeth are super sensitive. I actually had to get numbed up to replace them, where the dentist said some people don't. (When the permanents comein that is) AND they are STILL super sensitive. Except the ones that have had root canals. I had a cleaning a couple weeks ago and the air from the suction and tools with cold water was hell. Hurt like a mother fu.................. it hurt. I almost have to be numbed just for a cleaning. EVEN after crowns. The dentist and hygenist seemed surprised. But it's just hot and cold. I actually put my mouthwash in the microwave for a few seconds. Allways have and still do after the porcelain venears.

If they do it's either a tooth next to the canaled one or it's underneath the tooth. Jaw or whatever.

Attachment 102596
they "feel weird" because you have lost proprioception of the tooth. Teeth are actually held into your jaw by tiny little hairlike fibers, called the periodontal ligaments. These fibers let you know what is going on with your teeth. So, when you bite on something that is really hard it tells you "open up before you crack your damn tooth!"

Your teeth sound like they must be very sensitive. You could have thinner enamel than some, maybe bigger dentinal tubules, could be a lot of things. Bottom line, your teeth hurt. Have you tried a toothpaste that has potassium nitrate? Something like Sensodyne?

Next week I should be getting a sample of some new product from Colgate that is for sensitivity. I don't even know what it is yet. If you like I can send it to you and you can give it a shot to see if it helps.
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