Patient's Query
Hello doctor,
About two weeks ago, I bit something that cracked my first molar, bottom left. Over the next two days, the sensitivity worsened, mainly when drinking fluids hot or cold, though it was painful if I chewed food on it, and I went to the dentist to think a filling had fallen out. He diagnosed a cracked molar with an X-ray and also put a very cold bit of steel on it, which was painful. He stated the only options were root canal, crown, or extraction.
The next day, the pain sensitivity eased, started using Colgate on prescription. I got a second appointment at the dentist in two days, and the tooth is much better, and I can now chew a cheese sandwich and drink fluids fine. I can feel something sometimes, but it is very low-level.
Could the tooth have fixed itself, or would a filling be sufficient?
Kindly assist.
Hello,
Welcome to icliniq.com.
I have read your query and can understand your concern.
The infection can be the cause. It seems that the tooth can be saved, and there can be many options like RCT (root canal treatment) with crowns, pins, and post and core. I suggest that you please share a picture of the involved tooth for the best treatment. Also, please get an X-ray done.
I hope I have answered your query.
Revert if you have any other doubts.
Thank you.
Patient's Query
Thank you, doctor,
I am 54 years of age, and teeth have never been a problem, but extraction is a lot cheaper. I can not take a picture of the tooth, as it would probably show little anyway. I cannot see any issue myself using a magnified mirror, and it is the first molar. I know the tooth can be saved with RCT and a crown. Overall, I have a good set of teeth and have only had two very small fillings when I was a teenager.
Please help.
Thank you.
Hello,
Welcome back to icliniq.com.
I always recommend root canal treatment (RCT) in case of either failure of normal restoration, indirect pulp capping, or a grossly decayed tooth, which cannot be saved with crown buildup. But I always recommend extraction as a last resort since my ethics do not allow me to lose a tooth if it can be saved. As per your history and lack of an X-ray, I thought that you have bigger trauma, so I recommended RCT. In case the pain is less, or the tooth structure is ok, please go for restoration (sandwich technique) or indirect pulp capping.
I hope I have answered your queries.
Please revert in case you have any other doubts.
Thank you.
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Answered byDr. Bharat Joshi
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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