Dental

Ask a Dentist. Get Answers to Your Dental Questions.

Ask an Expert,
Get an Answer ASAP!

Dental

Following up on previous question regarding pain and

Customer Question
sensitivity to the number two...
Following up on previous question regarding pain and sensitivity to the number two tooth having 11-12 days after temporary crown.I just returned from the dentist, and he made a comment regarding the temporary crown having a high spot to the best of my recollection. So he did some drilling on that tooth.He said sensitivity to cool liquids is normal if fleeting, and I seem to recall in most instances after drinking a cold liquid it was just a matter of seconds. However, over the weekend I did have some mild pain from the tooth/gum, and sometimes moderate whereupon I used a table or two of Advil plus Orajel. However, I never had a throbbing sensation, and the pain was intermittent, and never woke me from my sleep.He thought my sensations were within the realm of normality, but he again added that 6 to 8 or even 10% of teeth that are crowned will need a root canal, although when I asked him if my was more of a candidate from my procedures, he said no. However, at the same time, he noted that the cavity in the number two tooth was higher up on the tooth, and thereby closer to the nerve (perhaps the reason for the sensitivity/pain?). He said that the tooth had had two prior fillings (he is not my normal dentist who is on disability), so apparently he can tell from the X-ray. I know it had a moderate to large cavity more toward the bottom of the tooth that he would have had to remove it if he had decided to fill the current cavity rather than putting a crown on the tooth. Further, a gap (apparently recent) had developed between the number two and three tooth causing inflammation, and apparently a filling would not solve that problem. He made a comment that perhaps the tooth should have had crown even earlier.Then he said regarding my query of a root canal, that there is no way to know whether a root canal is needed other than the patient having continual pain/throbbing in the tooth. I told that to a colleague upon my return and he said that an X-ray should be used to diagnosis a root canal, and that you did not just precede with a root canal because the patient is feeling pain. He told me to see a new dentist.I have an appointment for the permanent crown on Monday, and he said that if I am experiencing symptoms at that time he would use a temporary adhesive.He also said that he used to use CEREC but that they do not anymore, that it is not the best material for molars, and added something about the necessary skill to use this type of treatment. My regular dentist does not use CEREC. He also said that using CEREC would necessitate cutting away more of the healthy tooth, but he also said that he prepped by tooth for a CEREC even though he is using a porcelain/ceramic substrate for the crown, and that by using that technique it required less taking out of the dentin or pulp (not exactly sure; I would not think he would have to take away any of the pulp for the crown, so he must have meant the dentin? He did say that when prepping for the crown he never had to touch the nerves. It just seems counterintuitive that on the once had he would say that CEREC would require cutting away more of the health tooth, but that prepping it as if for CEREC involved less of a cutting away of the health tooth.Finally, I do have some tenderness/mild pain after the drilling this morning (he did not take an X-ray; should he have?). Not bad pain, just checking if that is normal. My sensitivity to water is minimal and mostly fleeting, although when the hygienist used the air when the dentist was drilling, the pain was certainly present, but I believe he said that was normal because the nerves are exposed at this point.He said there was some blood due to not flossing, which I could not due because he cemented the number two tooth the number three tooth (something about closing or preventing a gap).If the dentist's comments do not make total sense, then I should clarify with him or seek a second opinion.I know this is a lot for one question. If you desire to address it partially, I could ask the remainder as a new question to give your more credit.Thank you!
Submitted: 1 year ago.Category: Dental
Show More
Show Less
Ask Your Own Dental Question
Answered in 1 hour by:
4/6/2016
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,686
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.
Verified

Is it possible for you to upload an xray of this tooth or area in question?.That could help a lot in diagnosing your problem.

Ask Your Own Dental Question
Customer reply replied 1 year ago
I don not have one available, and do not know if I could access one. Is this something I could ask my dentist to send me via e-mail? Thanks.
Customer reply replied 1 year ago
Should he have taken an X=Ray today, or not necessarily? Concerned about his comment that cannot tell if root canal needed unless patient complains of continual pain (as opposed to intermittent I believe). Maybe there is more, but he just did not tell me?Also, he said the crown would not be metal. I did receive my insurance claim, and it said the crown was porcelain/ceramic substrate. That requires a co-pay on my part, as opposed to a full cast noble metal. Money is not a concern regard this for me. He said that crown would be Zirconia, and that it is a type of ceramic. But in looking at the net, it seems to be a metal. Could you clarify or make suggestions? Thanks.Perhaps you could address some of these questions, and I could ask a new question for your diagnosis if I can get an X-Ray. I will leave that up to your judgment. Thanks.
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

There should have been a recent xray taken.Your dentist should be able to email you a copy.

Ask Your Own Dental Question
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

Zirconia is not metal.It is a ceramic substrate.It is a hard substance that is difficult to adjust.My opinion is that in this area, an all gold or porcelain fused to metal crown is the best type of restoration in this scenario.You can insist on it no matter what the dentist says.If he he does not do them or is unskilled in prepping them,find a new dentist.

Ask Your Own Dental Question
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

Signs that a tooth needs to be root canaled are ,pain to heat,pain to biting pressure, swelling in the gum,fistula formation and xray ray evidence showing bone loss around the root tip.If most of these signs are not evident,the tooth is not a candidate for root canal therapy.

Ask Your Own Dental Question
Customer reply replied 1 year ago
I called my insurance company and told them the dentist was planning a Zirconia crown. The rep stated that the claim submitted was for all porcelain (text shows porcelain/ceramic substrate). The rep stated that Zirconia is partial metal (I think she said not visible part), and that the dentist had submitted the wrong claim code. When I specifically asked him this morning whether the crown had any metal, he said no. What am I to think?Regarding root canals, I take it a dentist would not give a patient a root canal based on subjective symptoms, but would need evidence via an X-Ray that problems existed with the pulp, and/or a pulp test? If so, why would he not tell me that?
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

I think that the dentist is doing what he wants to do and have you just go along with it.There is virtually no metal in zirconia.There are just tiny particles of what they call metal that are not visible with the human eye.The important part of a porcelain fused to metal crown or an all metal crown is the metal coping.This metal is what gives a better fit and allows the preparation of the crown to be below the gumline for a better seal.I cannot tell you why or why not your dentist says something.It could range from answers like he doesn't know any better or that he is incompetent.

Ask Your Own Dental Question
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

If you have no further questions,please leave a rating so that we can maintain good quality control on this site.I have offered a phone call but it seems like you are not interested in any more specific information. Thanks for your cooperation.

Ask Your Own Dental Question
Dentist: Dr. Katz, Dentist (DDS or equivalent) replied 1 year ago

Is there anything else that I can help you with?

Ask Your Own Dental Question
Ask Dr. Katz Your Own Question
Dr. Katz
Dr. Katz
Dr. Katz, Dentist (DDS or equivalent)
Category: Dental
Satisfied Customers: 3,686
3,686 Satisfied Customers
Experience: Dentist and Anesthesiologist for 37 years.Anesthesiology Fellow-Johns Hopkins School of Medicine.Evaluator for Maryland State Board of Dental Examiners.

Dr. Katz is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Mark Bornfeld, DDS

Mark Bornfeld, DDS

Dentist

5,765 satisfied customers

Clinical instructor, NYU College of Dentistry; 37 years private practice experience in general dentistry, member Academy of General Dentistry, ADA, American Academy of Oral Medicine

Dr. Alex

Dr. Alex

Dentist

1,607 satisfied customers

I am a General Dentist and founder of the American School of Dental Assisting

Dr. George McKee

Dr. George McKee

Dentist

1,392 satisfied customers

Licensed dentist with 30 years clinical experience in general practice and cosmetic reconstruction.

Dr. Girish

Dr. Girish

Dentist

788 satisfied customers

19 years of clinical experience in all phases of Dentistry.

Julian Chen

Julian Chen

Dentist

567 satisfied customers

Practicing General Dentist since 2002

Dr. Winterholler

Dr. Winterholler

Dentist

266 satisfied customers

4 years Private Practice, Heavy emphasis on Cosmetic Dentistry and Implants, Top 10% of Dental Class

Dr. Mitch

Dr. Mitch

Dentist

211 satisfied customers

DMD General Dentist Private Practice Over 20 yrs.

< Previous | Next >

Related Dental Questions
Tooth with a crown in now sensitive to touch, need an
tooth with a crown in now sensitive to touch, need an antibiotic and will have to see the dentist. Can Cipro or Keflex be used to treat the infection until I see a dentist in a couple of days. I have … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal 2015 It is reinvested. It will cost 2000
I had a root canal 2015 It is reinvested. It will cost 2000 to have it fixed. I can not afford this More problems to have it pulled… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done in two parts. One half before
I had a root canal done in two parts. One half before Thanksgiving and the 2nd part right after Thanksgiving, I went back several weeks later with excruciating pain in the gum area. It felt like shoot… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
Need to know what is street price for root canal in
need to know what is street price for root canal in Brooklyn, NY or NYC. Need to do #15. My doctor said 3 canals, may be 4.… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal done, that turned into abscess, i went on
I had a root canal done, that turned into abscess, i went on antibiotics for some time and it seemed to clear up and now it looks like i have a skin tag growing off the side of my gum on that toot. Wh… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I had a root canal performed on a second lower molar 4 weeks
I had a root canal performed on a second lower molar 4 weeks ago and all went well. I went back to have the impression of the crown done and told the dentist that the wisdom tooth behind it felt sore.… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
I had a root canal treatment (1st molar left lower jaw)
Hello,I had a root canal treatment (1st molar left lower jaw) three years ago. Yesterday, the tooth broke - both the tooth AND the post came out while I was chewing a gum.The dentist said that the too… read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
Recently I had root canal done on my lower molar tooth and
Hi dr recently I had root canal done on my lower molar tooth and due to that my front teeth got chipped and doctor smoothed the rough edges. Now Iam feeling sensitive to hot and cold foods in the lowe… read more
Just Dental Truths!
Just Dental Truths!
Dentist
Doctoral Degree
1,092 satisfied customers
I had a root canal and crown on a tooth 20 years ago. It
I had a root canal and crown on a tooth 20 years ago. It often is sore. Yesterday it became painful to eat. The pain is localized to that tooth. I also have a awful chest cold. Could it be a sinus inf… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
I had a root canal done last year on a lower molar. While
I had a root canal done last year on a lower molar. While out to dinner recently with my family, I felt like I had bitten down on rocks. Actually that same tooth fractured. I visited my DDS who told m… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
I had a root canal in August and still don't have a crown
I had a root canal in August and still don't have a crown put on , because it's difficult to place it on. My question is, will there be any damage because the permanent crown is not on? Never had a te… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
I have a lower left molar with a25 year old root canal that
I have a lower left molar with a25 year old root canal that I think is failing. I have a feeling of pressure in it and pain radiating up into cheek and ear. My xray is not definitive for infection per… read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I have a molar on my left side that I had a root canal
I have a molar on my left side that I had a root canal re-done due to pain that had started 3 -4 weeks prior. The Dentist had given me antibiotics at that time to take and it had improve but then the … read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
I had a crown come off this afternoon. Was on a molar tooth.
I had a crown come off this afternoon. Was on a molar tooth. It's about 2 years old. Got scheduled for a visit with my dentist, but anxious. The exposed tooth is discolored brown. It is sensitive to a… read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
Can you recommend a dentist specialising in root canal
Can you recommend a dentist specialising in root canal treatment please-in the stockport area … read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
I have a two molars that have each had previous root canals.
I have a two molars that have each had previous root canals. One tooth once and one tooth twice. On the side that has had one root canal the cap has completely eroded leaving the metal rod exposed as … read more
Root Canal Doctor
Root Canal Doctor
Doctoral Degree
1,904 satisfied customers
I have a tooth #15 with a root canal that is sensitive to
I have a tooth #15 with a root canal that is sensitive to temperature, but not sensitive to pressure .... I woke up with the corresponding lower molar now aching and sensitive to pressure ..... … read more
Dr. Katz
Dr. Katz
Dentist (DDS or equivalent)
3,686 satisfied customers
Does a root canal and crown usually solve the problem for
Does a root canal and crown usually solve the problem for most cracks on teeth? I know there are different types of cracks - bit in general for what % of cracks will a root canal and crown suffice ins… read more
Lara Coseo
Lara Coseo
Owner
Doctor of Dental Surgery
339 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x