Dental

I had a large filling in my upper first molar. The tooth…

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I had a large filling...
I had a large filling in my upper first molar. The tooth seems to have lost the nerve as there is no pain....since the filling has come out last week and dentist inserted a sharp needle in the tooth and it did not pain. It is not sensitive to cold and hot... Read full answer
I had a large filling in my upper first molar. The tooth seems to have lost the nerve as there is no pain....since the filling has come out last week and dentist inserted a sharp needle in the tooth and it did not pain. It is not sensitive to cold and hot drinks at all. There is a recessed gum on one side of the tooth for a long time (20 years now) where there was dischage coming out at times..without any pain. However I had been using this tooyh all this while (uptil last week) to chew food without any problems. Last week the filling came out while I was eating and still there is no pain to hot or cold drinks. Do I now need normal filling or root canel treatment (as one dentist suggested)but needs to decide..he claned and has put a cotton in it. Another dentist says that it needs just filling since there is no tooth pain.
I can feel some discharge from the tooth and in recessed gum area. What do you advise on this issue.Do I get it filled or get root canel done.
Submitted: 11 years ago.Category: Dental
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Answered in 38 minutes by:
1/8/2008
Dentist: Dr. George McKee, Dentist replied 11 years ago
Dr. George McKee
Category: Dental
Satisfied Customers: 1,396
Experience: Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.
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Dear Mohammed,

There is an abscess (infection) associated with this tooth. The answer to your question depends on where the infection is located. If the infection is located in the gums of the tooth, then you do not need a root canal. If the infection is in the nerve of the tooth (which can be causing you no pain), then you do need a root canal. From your description of the treatment rendered, I suspect that the nerve of the tooth is dead (since you said that the dentist put a needle INTO the tooth without pain) and you need a root canal before a new permanent filling is placed. Sometimes, a tooth can have both a gum infection and a nerve infection at the same time. My best suggestion is to have the dentist who told you that you need a root canal take an X-ray and show you where the infection is coming from. The dentist who told you that the tooth does not need a root canal treatment (because there is no pain) is wrong if all he used to make this determination was just the fact that you have no pain. If the nerve in the tooth is completely dead, there will be no pain but will still have an infection present. If you have a dead tooth filled without first performing the root canal, you will have a larger infection later with pain. I hope this information was helpful. If you have any concerns regarding this matter that I have not addressed, please let me know and I will get back to you with more information.

Sincerely, ***** ***** DDS

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