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Mercury Gone but Teeth Hurt? Take a Poll
Video: Amalgam Removal and Replacement
Video: Composite Bonding Shrinkage Problems
Amalgam Replacements Treatment Failure
Question:
Tooth ache after filling replacement: I had three mercury fillings replaced and crowned I had no pain before this.
Then I started getting off and on toothaches every 12 - 22 hours. Then I would take some ibuprophine and it goes away then comes back. The dentist said everything looks good but we are thinking of a root canal or pulling it.
It has been a month. Will this on and off again severe ache ever go away? I am thinking of having the tooth pulled tomarrow. ...Visitor from PA
Answer:
Thanks for your question. First let me say that I am at a disadvantage of not having done the work nor do I have radiographs and your teeth in front of me.
That being said, there can be several reasons why you are having pain. You must understand that inside every tooth, there is pulp tissue which contains blood vessels and a sensory nerve. Every time a tooth is worked on it is traumatized.
As dentists we do what we can to minimize that trauma, for example, by using water in our handpieces to prevent over heating the tooth. In your case the pulp tissue is irritated and is causing a pulpalgia.
The question is it reversible or non-reversible. If it is reversible it may over time resolve itself; otherwise, it may need root canal therapy. If I were you I would not extract the tooth. See an endodontist and have a root canal performed to save the tooth.
Now the question that you raised regarding the fact that you did not have pain before the treatment. So let's say you had some mild trauma to the tooth. The amalgam was removed and composites were bonded to the tooth structure. The acid used for conditioning the tooth could have irritated the tooth if it was exposed too long or perhaps there could be a microgap between the composite and the tooth.
When there is a small gap, every time you bite would cause a sharp pain. this does not sound like your situation.
Another scenario could be that the temporary crown did not fit well and seal the cut tooth structure after it was prepared for a crown. Bacteria would subsequently leak under the temporary crown and cause sensitvity.
Yet another possibility is that the cement used for the permanent crown further irritated the tooth and created a pulpalgia. In any event, at this point it doesn't matter what caused it.
The best solution would be to get a root canal performed on that tooth and get rid of your miseery.
Hope I have helped somewhat.
Florida Reconstructive Dentistry
Mitchell Pohl, DDS
2900 N. Military Trail, Suite 105
Boca Raton Florida FL 33431
(561) 368-3440
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