Friday, July 31, 2009

Pain in Molar Teeth?

I've currently experiencing pain in my molar teeth on both (1) the grinding surface and (2) side- between my "affected" molar and "unaffected molar". The pain occurs when i bite, and continue to linger. Dentist mentioned that it might be a cracked tooth, which is not visible to the naked eye, and said that an x-ray is not necessary. He suggested performing a root canal or bear with it if its bearable.


I was wondering whether are there any other ways to verify whether there is indeed a crack in the molar teeth, if the x-ray cannot see hairline cracks. Also, would dental bonding/filling the grinding surface be able to get rid of the pain?

Pain in Molar Teeth?
What you have is a cracked tooth, the symptoms you show are the classic for cracked tooth syndrom. The only way to treat that tooth is with a crown. The crown will hold the crack together and should no longer bother you. If you have cracked that tooth all the way into the root, then you will need a root canal and a crown. But there may not be a way to know that until after the crown is on. The x-ray will not show a crack unless the person taking the x-ray is lucky enough to get it lined up just right.
Reply:yes by a good dental examination and a dental history (symptoms,signs) plus x ray the dentist can diagnose your case....but it's maybe a crack as the dentist said coz your symptom(pain during biting) is related to the pressure you make on the tooth as when you bite the crack will dilate so the fluids and food enter the crack which will cause pain.... there is something called cracked tooth syndrome which cause the same pain you described but it mostly associated with a large filling, , i don't know whether your tooth has filling or not .


if you have a crack ,x ray alone can not reveal it.
Reply:You may simply be grinding you teeth. Teeth sit in a socket similar to a joint that allow some degree of movement. If you grind you teeth or bite down on something hard you may hurt the joint. It would be similar to landing the wrong way on your ankle. The problem with teeth is we have to use them all the time, and many people (sometimes unknowingly) put extra pressure on them when they are not eating. If you twist you ankle you try to rest it and the same must be done with the tooth. The dentist may also check your occlusion to see what kind of forces are being placed on the teeth. I would say 60-80% of toothaches are a result of this "traumatic occlusion."


If you tooth is cracked then no amount of rest will allow it to heal. Your dentist is suggesting you may have cracked root syndrome. The possibility that a root canal or crown will improve a cracked tooth is small. Extraction is usually the only successful treatment. So your dentist is trying to save the tooth by allowing it time to heal from traumatic occlusion. If it doesn't then the diagnosis of cracked root syndrome would be confirmed.


Hairlines fractures in a tooth are almost never visible on an x-ray. An endodontist may be able to see a crack using a surgical microscope.



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