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Post Subject:

Signs of dying tooth?

Reply from: Robert
Date: 19 Apr 2008, 23:02
Signs of dying tooth?

About a week ago I had a resin filling replaced on #5. The dentist put some
"medication" underneath the filling (Calcium Hydroxide maybe?) Anyway, that
tooth feels fine, but #4 and #3 (which also have resin fillings) are
starting to really hurt and it actually looks like they are starting to turn
a little darkish on the side down near the gum line. Is that a sign of a
dying tooth? Could the refilling in #5 affect them that way? If so, could
it happen that fast or is likely pure coincidence? What should I consider
doing? My dentist is away for a week. Thanks for any suggestions.






Reply from: Amatus Cremona
Date: 21 Apr 2008, 14:40
Re: Signs of dying tooth?

No way to diagnose your problem over an internet connection. You need to be
seen in person. Could be any number of things occurring.

Find out who is covering emergencies for your dentist and get evaluated.

--
/

Amatus

/
"Robert" <guyinct17@NOSPAMyahoo . com > wrote in message
news:480a5dfb$0$15195$607ed4bc@cv . net ...
> About a week ago I had a resin filling replaced on #5. The dentist put
> some "medication" underneath the filling (Calcium Hydroxide maybe?)
> Anyway, that tooth feels fine, but #4 and #3 (which also have resin
> fillings) are starting to really hurt and it actually looks like they are
> starting to turn
> a little darkish on the side down near the gum line. Is that a sign of a
> dying tooth? Could the refilling in #5 affect them that way? If so, could
> it happen that fast or is likely pure coincidence? What should I consider
> doing? My dentist is away for a week. Thanks for any suggestions.
>
>
>
>
>



Reply from: Robert
Date: 26 Apr 2008, 14:04
Re: Signs of dying tooth?

"Amatus Cremona" wrote in message
news:JX%Oj.21123$%41.9287@nlpi064.nbdc.sbc . com ...
> No way to diagnose your problem over an internet connection. You need to
> be seen in person. Could be any number of things occurring.
>
> Find out who is covering emergencies for your dentist and get evaluated.

Unfortunately no one seems to cover for him, so maybe it is time for a new
dentist. I reached him by phone and he perscribed an antibiotic which helped
a bit. Although that might be bad news since it suggests there really is an
infection in there. I'll be seeing him this week.



Reply from: Dartos
Date: 22 Apr 2008, 00:32
Re: Signs of dying tooth?



Calcium hydroxide under resin fillings is pretty much outdated
at this time.

;-(
D

Robert wrote:

> About a week ago I had a resin filling replaced on #5. The dentist put some
> "medication" underneath the filling (Calcium Hydroxide maybe?) Anyway, that
> tooth feels fine, but #4 and #3 (which also have resin fillings) are
> starting to really hurt and it actually looks like they are starting to turn
> a little darkish on the side down near the gum line. Is that a sign of a
> dying tooth? Could the refilling in #5 affect them that way? If so, could
> it happen that fast or is likely pure coincidence? What should I consider
> doing? My dentist is away for a week. Thanks for any suggestions.
>
>
>
>
>


Reply from: ---
Date: 22 Apr 2008, 03:08
Re: Signs of dying tooth?


Can you bond over an exposure ?

<just kidding>

On Mon, 21 Apr 2008 17:32:56 -0500, Dartos <tuthjockey@myturbonet . com >
wrote:

>
>
>Calcium hydroxide under resin fillings is pretty much outdated
>at this time.
>
>;-(
>D
>
>Robert wrote:
>
>> About a week ago I had a resin filling replaced on #5. The dentist put some
>> "medication" underneath the filling (Calcium Hydroxide maybe?) Anyway, that
>> tooth feels fine, but #4 and #3 (which also have resin fillings) are
>> starting to really hurt and it actually looks like they are starting to turn
>> a little darkish on the side down near the gum line. Is that a sign of a
>> dying tooth? Could the refilling in #5 affect them that way? If so, could
>> it happen that fast or is likely pure coincidence? What should I consider
>> doing? My dentist is away for a week. Thanks for any suggestions.
>>
>>
>>
>>
>>

Reply from: Robert
Date: 27 Apr 2008, 03:58
Re: Signs of dying tooth?

"Dartos" wrote in message news:1208804147_23510@news.newsville . com ...
>
> Calcium hydroxide under resin fillings is pretty much outdated
> at this time.

My bad - it wasn't Calcium Hydroxide and it wasn't under resin - it was the
entire filling. It had three initials IRD, IDR, IMD, something like that.
It was all done very quickly in one visit.




Reply from: ---
Date: 27 Apr 2008, 18:24
Re: Signs of dying tooth?

On Sat, 26 Apr 2008 21:58:38 -0400, "Robert"
<guyinct17@NOSPAMyahoo . com > wrote:

>"Dartos" wrote in message news:1208804147_23510@news.newsville . com ...
>>
>> Calcium hydroxide under resin fillings is pretty much outdated
>> at this time.
>
>My bad - it wasn't Calcium Hydroxide and it wasn't under resin - it was the
>entire filling. It had three initials IRD, IDR, IMD, something like that.
>It was all done very quickly in one visit.
>
>


Probably IRM

Intermediate Restorative Material.

*NOT* indicated for long term use !!!

Reply from: Robert
Date: 28 Apr 2008, 07:24
Re: Signs of dying tooth?

<Newbie@bix.nex> wrote in message
news:80a914l1ntm7lh55ul2eogpasi6o3n5ind@4ax . com ...
>
> Probably IRM
>
> Intermediate Restorative Material.
>
> *NOT* indicated for long term use !!!

Yes, that's it, thanks!

Right, he just put it in while we decided what the next course of treatment
was. How short term is it? Weeks, months, years? Can bacteria leak in
around it after just a week or so?





Reply from: TGL
Date: 28 Apr 2008, 11:57
Re: Signs of dying tooth?

On Apr 21, 10:32 pm, Dartos <tuthjoc...@myturbonet . com > wrote:
> Calcium hydroxide under resin fillings is pretty much outdated
> at this time.
>
> ;-(
> D
>

I've attended a number of courses in which the lecturers used calcium
hydroxide in close proximity or in contact with the pulp, followed by
some sort of glass ionomer (cement or resin based material, either
one). Afterwards they applied the resin.
I must say that I've been trying this method for a couple of years
with very good results. I do, usually, fill the cavity with 0.20%
chlorhexidine before applying the calcium hydroxide, but that's me
being a perfectionist.

What do you think of this protocol Dartos?

kindly,
Tiago

Reply from: Amatus Cremona
Date: 28 Apr 2008, 12:07
Re: Signs of dying tooth?

Studies have shown that CaOH does not stimulate dentin formation. It is
mildly bactericidal, though.

--
/

Amatus

/
"TGL" <t.gomesdaluz@gmail . com > wrote in message
news:dfa7a5bb-0e88-4b5d-82ab-6e02e9da9412@w74g2000hsh.googlegroups . com ...
On Apr 21, 10:32 pm, Dartos <tuthjoc...@myturbonet . com > wrote:
> Calcium hydroxide under resin fillings is pretty much outdated
> at this time.
>
> ;-(
> D
>

I've attended a number of courses in which the lecturers used calcium
hydroxide in close proximity or in contact with the pulp, followed by
some sort of glass ionomer (cement or resin based material, either
one). Afterwards they applied the resin.
I must say that I've been trying this method for a couple of years
with very good results. I do, usually, fill the cavity with 0.20%
chlorhexidine before applying the calcium hydroxide, but that's me
being a perfectionist.

What do you think of this protocol Dartos?

kindly,
Tiago



Reply from: Dartos
Date: 29 Apr 2008, 22:27
Re: Signs of dying tooth?



Amatus Cremona wrote:
> Studies have shown that CaOH does not stimulate dentin formation. It is
> mildly bactericidal, though.
>


And not worth much.

I'd say the results would be just as good with SE Bond, or glass ionomer
as the first layer and ditch the CaOH.

JMO,
D


Reply from: ---
Date: 01 May 2008, 06:16
Re: Signs of dying tooth?

On Tue, 29 Apr 2008 15:27:39 -0500, Dartos <tuthjockey@myturbonet . com >
wrote:

>
>
>Amatus Cremona wrote:
>> Studies have shown that CaOH does not stimulate dentin formation. It is
>> mildly bactericidal, though.
>>
>
>
>And not worth much.
>
>I'd say the results would be just as good with SE Bond, or glass ionomer
>as the first layer and ditch the CaOH.
>
>JMO,
>D


Since you advised me after my questions years ago, and you are the
*grand master* of posterior composite, cannot remember the last time
I used CaOH (Dycal). Don't think we have had a tube of it in the
office for 5+ years.

There is however, a rarely used medium bottle of CaOH powder
readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic
for those rare "weepy" canals. (Spin it down with a lentulo, close
with a bonded flowable or fuji9, "no Cavit, please")
The CaOH powder mixes nicely with USP petrolatum for a cheap and
excellent PIP too !

Haven't used liners in years, rare sensitivity... 1 in 200 maybe ?
Prolly less.
CFSE Rules !

Placed it over a tiny non-bleeding mechanical exposure in two lower
centrals about 9+ months ago with no symptom reports to date.

{Was recontouring a 'roller coaster' for a more esthetic and
functional prosthetic result}

Reply from: Dartos
Date: 06 May 2008, 15:13
Re: Signs of dying tooth?



Newbie@bix.nex wrote:

> There is however, a rarely used medium bottle of CaOH powder
> readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic
> for those rare "weepy" canals. (Spin it down with a lentulo, close
> with a bonded flowable or fuji9, "no Cavit, please")
> The CaOH powder mixes nicely with USP petrolatum for a cheap and
> excellent PIP too !

Good advice!

D


Reply from: ---
Date: 11 May 2008, 01:04
Re: Signs of dying tooth?

On Tue, 06 May 2008 08:13:09 -0500, Dartos <tuthjockey@myturbonet . com >
wrote:

>
>
>Newbie@bix.nex wrote:
>
>> There is however, a rarely used medium bottle of CaOH powder
>> readily mixed with *NO VASOCONSTRICTOR* sterile local anesthetic
>> for those rare "weepy" canals. (Spin it down with a lentulo, close
>> with a bonded flowable or fuji9, "no Cavit, please")
>> The CaOH powder mixes nicely with USP petrolatum for a cheap and
>> excellent PIP too !
>
>Good advice!
>
>D

Yer welcomed.




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