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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Tooth Have A Small Crack After Filling Was Removed? Why Does Pressure Hurt?

Hi. Today I had an old filling removed from a lower moler. The tooth also has a small crack in the rear of the tooth. Anyway, the old silver amalgam filling was grinded out. The old filling was very large, as the dentist mentioned to me. So he finished grinding it out. He mentioned seeing the crack. He then put in a temporary filling. It is very white in color. So I scheduled an appointment for 3 weeks from now. But now that the anesthetic has worn off, the tooth is so sensitive to pressure that I cannot make contact between my upper and lower tooth without piercing pain. It doesn t hurt badly at rest. But only when biting or under pressure. Is this normal for a temporary filling? Thanks!
Tue, 9 Oct 2012
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Dentist 's  Response
you are suffering from cracked tooth , go fore a digital iopa xray , as you mentioned taht pain is on biting my suggestion is you should go for a root canal treament and get your tooth capped my metal ceramic acp or metal free ceramic cap this will resolve your poblem .
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Dentist Dr. Gunjan Gupta's  Response
Hello Smith,
I read your problem,as you gave the detail,it seems that you have infection in the same tooth.the treatment for that is root canal treatment.i will suggest you revisit your dentist and go for the removel of this temporary filling because presenting infection is causing pressure development by closing it with temporary filling.due to this pressure development you are having such pain.so revisit your dentist and go for complete examination done including x-rays and take a proper treatment.and please follow all the given instructions properly.
nothing to get worried.
take care
Dr.Gunjan Gupta
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Dentist Dr. Sapna Purwaha's  Response
hello sir
pain on pressure indicates that the infection has been carried
to nerve area (pulp) of your tooth.you need to undergo root
canal treatment for this tooth.kindly visit your dentist soon,he
will take an xray and will start the procedure.antubiotics
and analgesics will be prescribed.
regards
dr.sapna
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Dentist Dr. Geoffrey Ward's  Response
Hello and thank you for your question.
This typically is not normal for a temporary filling. This may indicate that the bite is too high on the restoration and will need to be reduced to help remove the irritation.

Depending on the crack, what happens with this is when you bite down you open the crack which changes the pressure around the nerve, when you let go, it closes and changes the pressure again, this leads to pain in the nerve. This may indicate that the crack has entered into the pulp requiring a root canal or it causes enough irritation to the pulp that the dentist needs to grind the tooth until the crack goes away.

I have worked on many patients with cracks in their teeth and the pain goes away once it's drilled out. Other times it goes right into the pulp and needs to have a root canal. In other cases the crack is so deep that the tooth is non-restorable and needed to be extracted. Hang in there.

Best Wishes

Dr. Ward
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Dentist Dr. Neha Sumra's  Response
Hello
Welcome to HCM
I read your query & would like to tell you that what i feel about your teeth is you had an infection which has progressed to pulp.You are experiencing pain for same reason otherwise pain could have relieved by temporary restoration.That crack might be due to weakened tooth structure.You need to go complete investigation.In case infection has progressed up til pulp you need to get RCT done followed by capping which will improve your aesthetics as well.Get an IOPAR done & start with proper treatment.

Take Care
Regards
Dr.Neha
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Dentist Dr. Divya Dikshit's  Response
DEAR PATIENT ,
THE PROBLEM YOU ARE SUFFERING FROM IS DUE TO SPREADING OF INFECTION INSIDE YOUR TOOTH STRUCTURE . THE TREATMENT YOU HAVE BEEN PROVIDED BY YOUR DENTIST IS THE FIRST STEP IN AN ATTEMPT TO SAVE YOUR TOOTH STRUCTURE . SOMETIMES A BARRIER OF PROTECTIVE LAYER (DENTIN) IS FORMED BY THE TEMPORARY FILLING YOU HAVE BEEN PROVIDED . IF YOU HAVE PAIN STILL AFTER THIS YOU MIGHT HAVE TO GO FOR A ROOT CANAL IF TOOTH STRUCTURE IS INTACT AND GET A CAPPING DONE THEIR AFTER. KINDLY GET IT DONE AS SOON AS POSSIBLE AND DEFINITELY THEIR IS NOTHING TO BE WORRIED ABOUT.
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Why Tooth Have A Small Crack After Filling Was Removed? Why Does Pressure Hurt?

you are suffering from cracked tooth , go fore a digital iopa xray , as you mentioned taht pain is on biting my suggestion is you should go for a root canal treament and get your tooth capped my metal ceramic acp or metal free ceramic cap this will resolve your poblem .