Get Post Operative Toothache Eating Crackers With Composite Restoration. Reason, Solution?
hi I am Ahmed Soudi, From Egypt I am a dentistry student, I just wanna ask about post operative toothache related with eating Crackers associated with Composite restoration.. That discomfort is associated only with Crackers and there is no pain or discomfort with eating any thing I will be so grateful if you told me the reason and the solution
Hello Ahmed
Most commonly such toothache arises if there is no proper bonding of composite restoration to the tooth.As crackers are sticky when chewed, and if there is some gap between tooth and restoration, there is creation of negative pressure and leading to osmotic imbalance resultingin sensation of pain.Remove the filling ,give zoe dressing for a week and redo the composite filling with proper protocol.Insha allaha everything will be fine.
Best
Dr. Amit k. Gaba
Tooth sensitivity after composite restoration mostly depends upon the cavity depth and the type of dentine bonding agent.
Restoration with shallow or medium depth cavity usually have less sensitivity.
Crackers are sticky substances due to improper bonding between tooth and the restoration creates pressure and sensitivity in the tooth.
There should be presence of protective layer of calcium hydroxide base to give pulpal protection in cases of increased depth of cavities.
I would suggest you to remove the restoration and place zinc oxide eugenol dressing for a week and repeat the procedure by giving a layer of calcium hydroxide.
Hello,
Thanks for writing in.
Usually if the composite restoration is carried out successfully,there won't be any pain associated even while eating crackers.
I would suggest you toget an x-ray of the tooth.
Get the infected pulp within the canals removed.
Take complete course of antibiotics too.
Also avoid chewing hard foods with thr restored tooth for minimum of 7 days.
Root canal treatment has to be carried out if there is periapical infection associated.
Take care.
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Get Post Operative Toothache Eating Crackers With Composite Restoration. Reason, Solution?
Hello Ahmed Most commonly such toothache arises if there is no proper bonding of composite restoration to the tooth.As crackers are sticky when chewed, and if there is some gap between tooth and restoration, there is creation of negative pressure and leading to osmotic imbalance resultingin sensation of pain.Remove the filling ,give zoe dressing for a week and redo the composite filling with proper protocol.Insha allaha everything will be fine. Best Dr. Amit k. Gaba