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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had White Fillings, Silver Fillings In The Teeth, Painful, Mild Ear Infection, Muffled. Suggestions?

I ve always taken great care of my teeth. I brush twice a day, floss every night, and fluoride rinse every night. It had been 5 years since I had seen a dentist (I m 26), and I expected to have a few cavities since I know no matter how well you take care of your teeth, there is no guarantee that you will never have a cavity. I picked a random dentist to go to, since I live in a different city now and can t go to my old dentist. I ended up having to get 4 white fillings for the teeth in the bottom left part of my mouth. I had pain in my jaw and teeth the next day, but assumed that was normal and waited a week. I had to go back 2 more times so she could check it out and try to fix it. She tried to adjust the bite, but both times I had zero relief. The main reason I was getting worried was because the dentist nor her office were very professional. Every visit I had to wait 2 hours to see her, with an empty waiting room, and empty back rooms (it was an open office/cubicle type deal). I ve always been very comfortable with dentists, so I was trying to give her the benefit of the doubt, but after a total of 4 visits I decided to try a different dentist. The next dentist was super nice, I got in fast, but he took xrays and said that the fillings looked okay. He then told me about/showed me a cavity that I needed to get filled ASAP, and he was a little upset that she completely missed it, cause it could have gotten really bad if neglected. So, I let him give me an amalgam filling in the top right portion of my mouth. Now, I have pain in both areas! It s a constant jaw/ toothache , but when I chew or drink anything cold, it s a sharp pain in both areas. Sometimes my ears are even affected, kind of like a mild ear infection , and it s fuzzy and sort of muffled. I ve been taking ibuprofen and tylenol (alternating) and waiting it out to see if the amalgam side gets better after a week or two. I ve read things about both types of fillings and how it usually takes a few weeks for the root to get used to the new filling, but it s been over a month with the white fillings and just a week with the silver, and I the pain hasn t subsided at all. It hasn t gotten worse, so I guess that could be good. I m waiting one more week on the amalgam, and if it still hurts, I m going to call the dentist and let him know. I m getting a little worried about all of this, and am starting to fear dentists! When I was 8, I busted my front tooth and had to get a bonding, and I didn t have a hard time with that, so I don t think it s my pain tolerance . I just really need some advice, for piece of mind! Help!
Wed, 31 Oct 2012
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Dentist 's  Response
Dear rebecca.eve.underhill
as far as i understood your situation,there are 2 possibilities
1-there is over filling of tooth,this should be checked properly by the dentist.
2-there is microleakage in filling causing innervation of nerve fibres in tooth when you drink something cold and seems cavity is very deep that is near or about to touch the pulp chamber,as whenever you eat something all your occlusal pressure goes to the pulp chamber leading to pain,in this type of condition filling is not advisable your dentist should go for the root canal treatment of the tooth after radiographic examinition.
i hope its clear to you
have a good health,take care,cheers
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Dentist Dr. Inderpreet Singh's  Response
sorry to hear you are losing trust over dentists. but i think both of them missed the depth of the decay of the twoo teeth they restored .
when a tooth which is very near exposed ( means the decay is very near the pulp or has actually invaded it ) , root canals should be seriously considered. in very near pulp exposures pulp capping is done.
talk to your dentist about the pain.
one more thing the height of the filling which could be more than the required could be causing the trouble too. so please get this point checked first
thanks
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Had White Fillings, Silver Fillings In The Teeth, Painful, Mild Ear Infection, Muffled. Suggestions?

Dear rebecca.eve.underhill as far as i understood your situation,there are 2 possibilities 1-there is over filling of tooth,this should be checked properly by the dentist. 2-there is microleakage in filling causing innervation of nerve fibres in tooth when you drink something cold and seems cavity is very deep that is near or about to touch the pulp chamber,as whenever you eat something all your occlusal pressure goes to the pulp chamber leading to pain,in this type of condition filling is not advisable your dentist should go for the root canal treatment of the tooth after radiographic examinition. i hope its clear to you have a good health,take care,cheers