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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Toothache?

Hi, thanks for taking the time to read this and I hope someone finds this interesting enough to give their opinion and maybe help me out.
In late February of 2014, I went for a cleaning and to get my teeth checked. It was the first time in 5 years, although in that time I have been pretty diligent about brushing and flossing. I wasn’t surprised though that I had some cavities and that some of the teeth that I had work on previously that the fillings had to be redone. Everything went pretty smoothly (at first), and my first work was 3 fillings (3, 13 and 20).
The one that went wrong out of these was 13. After about a month, I started having pain in the tooth. I don’t remember exactly when, but she finally got around to it maybe 2 or 3 months later because she initially thought the sensitivity might go away. Everything looked fine on the x-ray, but she decided to redo the filling. After she drilled, I noticed an unusual reaction from her. As she was working on it, I asked her what was going on and she said that the material had not cured. I inquired a bit further and she said that it must have not been done long enough last time and that perhaps her choice of trying to cure a full filling all at once had been a factor. This time, she was going to cure it in 3 steps to make sure it cured.
After the filling, the pain seemed to get better but I was still sensitive. She said it would be normal for that to be the case for the next few weeks since the nerve was sensitive. After the work was done, I felt sensitive for 3 weeks (mostly when I flossed and occasionally with chewing+ cold food) but thought it was normal. I went on a month vacation and during that time the sensitivity got even worse. I still don’t feel much unless I’m flossing. But the irritation while I pull down on the floss is getting worse (and it’s definitely not the gums because the pain is coming when I pull down and in the tooth nerve area rather than the gum area).
After vacation, I went back to the dental office but my dentist had left and I was assigned a new one. She immediately referred me to an endodontist and he said I would need a root canal. Furthermore, he said it was a deep filling in the first place that was a candidate for a root canal and so really, she tried to make it a filling but that sometimes it just doesn’t work and so it’s entirely normal. I asked him about the uncured filling exacerbating but he brushed it off saying, it “may have” affected the nerve but he couldn’t know for sure. I then talked to the “office manager” and she was even more flippant. She said she’d never heard of a filling not curing on the inside since “if the outside is cured, the inside just cures with time”. I told her that it’s what the original dentist told me but that she’s been in the field 16 years and never heard of anything like that but that she’d “check with the orthodontist”. At that point, she asked if I wanted to start the root canal today and handed me the estimate. I politely declined saying that I wanted to get to the bottom of this and get a second opinion.
For me, this is more of a case of trying to find the truth rather than a case of avoiding financial responsibility. I’m not a professional dentist, so I don’t know what might have happened here. However, it seems to me like the original dentist knew something was wrong and was trying to fix it but now that she’s gone they’ve gone into a mode of “cavities turn into root canals all the time and we tried our best”. They don’t seem to want to acknowledge that this redo is not a usual thing and that the uncured agent sitting in my tooth for a few months could be causing this. All I really want to know is what I should do… keep waiting for the sensitivity to go down or get a root canal. And if I get a root canal, is it really fair that I pay for it considering the way it all went down.
Thu, 7 Aug 2014
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Dentist, Prosthodontics 's  Response
hello
I can understand the pain and agony u went through the possibility of the material being not cured is little absurd coz composite filling is always done by layering technique so the explanation that the lady dentist gave that the filling was not cured properly looks a little absurd and negligence on her part.as u were filling post filling sensitivity it could have been due to shrinkage of composite material or reason i could see is that your cavity must be a little deep so ur getting the sensitivity or there may be a cracked tooth syndrome but since i dont have an xray to suggest wht could your problem be in my opinion u might need root canal but to suggest anything i need to see the radio grape
hope it helped
regards Dr rakesh mishra
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Dentist Dr. Qazi Ammara's  Response
Hi,
Thanks for posting the query,

Toothache indicates infection in the tooth such type of infected tooth needs to be treated with root canal treatment, antibiotics and analgesics will give a temporary relief, i would suggest you to get a checkup done take an IOPA x-ray of the tooth and start with the treatment, once the treatmnet is completed the tooth will become symptomatic.

Take care!
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What Causes Toothache?

hello I can understand the pain and agony u went through the possibility of the material being not cured is little absurd coz composite filling is always done by layering technique so the explanation that the lady dentist gave that the filling was not cured properly looks a little absurd and negligence on her part.as u were filling post filling sensitivity it could have been due to shrinkage of composite material or reason i could see is that your cavity must be a little deep so ur getting the sensitivity or there may be a cracked tooth syndrome but since i dont have an xray to suggest wht could your problem be in my opinion u might need root canal but to suggest anything i need to see the radio grape hope it helped regards Dr rakesh mishra