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Old 11-12-2011, 07:20 PM
 
6 posts, read 83,975 times
Reputation: 15

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Hi
I am looking for advice on my situation. I have an upper back tooth (#5 I think) where I had a root canal done about 5 yrs ago. I had it done because I guess the cavity in it was too big etcetra. I had the RC done by a good dentist but I was across the country having other teeth work done- long story but I was takin care of things with my teeth that had gotten out of hand for many yrs.
I went back home and had the RC'ed tooth supposedly crowned by a local dentist- not a very good one it turns out I wish I had gone to a guy I have to travel a little to see, who had done many of my fillings. But I thought it was a common enough thing that a local person could do it (where I live local dentist= not as expereicned or good as some).

Now- I noticed a small black/gray line on the back of the tooth up top- i have seen 3 dentists and they say that it is leaking.
I went travelled to a dentist 6 hrs away to get a good opion because also on the x ray there is a little jagged line- dark spot. first 2 dentists I saw thought it might be a failed RC but last dentists said maybe a crack in the tooth but he wasn't sure. But he thought it might not be a crack. He sais that the crown I had on it was done very poorly- this guy is good at crowns, he is the one who did my fillings-. I wished I had gone to him in retrospect.
anyway- but- he is a little rushed w- his bedside manner. Very friendly but I felt a little unclear at the appointment. HE said the crown looked almost like it was just bonding , not a crown!
So I think the local dentist did a very bad job and it may have caused a crack.

So now my diagnosis is still unclear. Dentist C- I'll call him- is the one I went to last week. He said the tooth needs to be restored. But if he finds a crack it would need to be pulled.
I am trying to figure out if I have a crack in it. I have dull achy stingy type of pain- I am confused about it and bummed that it may have been ok if I had had it done better-
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Old 11-12-2011, 08:00 PM
 
6 posts, read 83,975 times
Reputation: 15
HI
My last post was rambling and jumbled as I was hurrying to get to something else.
My questions are:
Is there any way to tell by how my tooth feels if it is in fact a crack?
IF it is a crack, can I still have the tooth re crowned and saved?
the dentist I saw was not as good as I wanted with answerin all my questions- he was nice enough, friendly, and I knnow he is a great dentist- he is one of the top and also I visited lots of dentists for other things and had some work done with him which was done very well. So I know if he re does the crown it will come out well.
I have another dentist- a periodontist- who is my favorite- but he lives all the way accross the country.
I Am just hoping the tooth is not cracked. When I had the root canal I guess I could have left the tooth alone but I was told I had to get it crowned to prevent future problems.
Oudl it have been better to have left it untouched after the root canal? I am still unclear about how it was done- and now the tooth is achy- the achy part is what scares me and makes me think there could be acrack- there is no pain upon biting but there is alos no nerve.
thoughts?
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Old 11-13-2011, 07:30 AM
 
Location: In a house
13,253 posts, read 39,185,644 times
Reputation: 20198
1. teeth don't leak. If 3 dentists told you that your tooth is leaking, then you went to 3 fraudulent dentists in a row. I think you are not understanding at all, what your dentists are telling you.
2. If -you- noticed a grey line on the tooth, then you did not get a crown. Crowns over root canals cover the tooth such that you can't see whatever is left of the tooth anymore, at all. Crowns do not typically crack, though if you did have a crown, and it was covered with porcelain, then the porcelain might have cracked. Not common, but certainly possible.
3. If the porcelain bonded over a metal crown cracked, and the metal is still intact and not cracked, then you could have the dentist gently buff the area with the crack to smooth it, and leave it alone from there.
4. If the crown itself is cracked, then you need a new crown.
5. If there is no crown, and the tooth is cracked, it would need to be either fixed (and probably crowned), or pulled, depending on the severety of the crack.
6. There is no reason why you should go across the entire country to see an endodontist. There are probably dozens of them within a 3-hour radius of your home. It's likely that at least one of them is good.
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Old 11-13-2011, 11:33 AM
 
6 posts, read 83,975 times
Reputation: 15
Thanks for the response. Sorry I was unclear about a few things:
I think they actually said the line shows that it is seeping- not leaking.

Secondly, I had thought I was getting a crown but now that I went to a better dentist he said it doesn't even look like a crown but like bonding.
I was so unsure what to do after the root canal (5 yrs or so ago). Dentists were telling me I couldn't leave the tooth alone without a crown or it would crack. I thought the local dentists was putting a crown on it.

When I refer to the fear of the crack I mean a crack in the tooth, not the crown.

I am trying to figure out if what I am feeling could be indicating a crack in the tooth. The last dentist I saw said the darker line on the toth x ray may indicate a crack in the tooth, but it also could be something else.

He said if it is cracked the tooth is a goner.
Even if it is cracked I am wondering if a good strong new crown will enable me to hold on to what is left of the tooth.

Would it have been better for me to have not had anything done to the tooth after it was RC'ed? I wanted to leave it alone but I was advised to get it crowned.

But I am thinking perhaps the local dentist shaved off some of the tooth and just reloaced it with some kind of partial crown but it doesn't go around the tooth.

I ahve been to 3 dentists in the past cuople of months trying to figure out what is going on w- the tooth as it looks and feels weird/ bad. Even the last dentist, who as I said is a good dentist, wasn't clear.
He said I need a new restoration. I agree with that. If he can simply take off whatever it is I have going on, and put a good new crown on it, then I think he is the person I want to do it. However. I am unclear from him about what he will do in the appointment if he does find a crack. I have a call into him to clarify it.

So I am just wanting to see if anyone can advise me regarding:
-Should I have left the tooth alone after a RC or would that have caused other prolems?

-If in fact what I have is not a proper crown, can this cause the Tooth to crack?

-If the tooth is cracked, because it is RC'ed, would I feel something to indicate that?

I am having a hard time identifying what I feel on the tooth. I notice it alot and it doesn't feel good- but it is not a sharp pain, more of a dull discomfort.
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Old 11-13-2011, 01:59 PM
 
Location: In a house
13,253 posts, read 39,185,644 times
Reputation: 20198
If the pulp is seeping through a crack in your tooth, then you need to remove the tooth and either leave a space in your gum, or replace it with a bridge/implant. It can't be "repaired" if it's that deep. A root canal wouldn't -cause- your tooth to crack, five years after the root canal. The tooth might have been compromised, and obviously it was, or it wouldn't have needed a root canal in the first place.

I have no idea what you mean by "a bonding." Bonding is a verb, and requires two substances with which to bond. You bond "this" to "that." In dentistry, this would be bonding porcelain to metal to create a crown that cements to a tooth. It would also mean a veneer bonded to the surface of the tooth.

If you mean a veneer was bonded to the outside surface of the tooth, well it would make sense if the tooth didn't need to be crowned. Root canals don't always require crowns. It's possible that at the time, you didn't need one, but the dentist felt it would improve the *appearance* of your mouth (that is to say, when you smiled) if it had a facade bonded to it.

And as such things happen, it's entirely possible that five years in, you had been chewing on things you probably shouldn't have been chewing on, using that tooth, and compromised the bonding, thus causing it to crack.

If the -tooth- was cracked, and you had even a veneer on it, you would not see or feel that crack, because the tooth - and subsequent crack, would be covered by the veneer. UNLESS the crack was in the -back- of the tooth (meaning, facing the inside of your mouth, rather than facing whatever gets to see you smile). If there was -nothing- on the tooth, and it cracked, you would certainly see and feel it.

If there was a crown, and the tooth was cracked, you wouldn't see or feel it, because the crown would be covering it.

You said you -think- it's your #5 tooth. That would make it a posterior tooth, meaning, a side/back tooth, and that particular number would indicate the molar closest to your front teeth, next to your incisor. It would make sense to have had a veneer bonded to the outside of that tooth, because it is visible when you smile at people. And since you don't normally use that tooth for chewing (it's used for ripping, gnawing, and biting), it isn't likely to crack from stress *unless* you are using it to do really dumb things like crack shells off nuts, or chomp on ice. (pro-tip - don't use your teeth to crack shells off nuts, or to chew ice).

LONG STORY SHORT: You had a bad tooth 5 years ago. Fixing it, didn't fix it. It's still a bad tooth. Your best bet is probably to just replace the tooth. Always try to save the tooth FIRST. If saving it doesn't solve the problem, then obviously the next step is to -not- save it, and replace it with something else (a bridge or an implant).
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Old 11-13-2011, 02:18 PM
 
Location: Austin, TX
16,791 posts, read 43,835,686 times
Reputation: 9401
I have had numerous root canals, some of them eventually cracked several years later. A root canal does weaken the tooth but it can add several years to its usefulness. Two years ago I had a root canal done on a tooth and a cap installed over it. A year later I started having discomfort and swelling of the gum around it. The root had cracked, this allows bacteria to get down into the gum which caused the discomfort and swelling. I have a powerful bite which has resulted in damage to several of my teeth. I now use a night guard to minimize that. The tooth with the cracked root had to be extracted and I had an implant installed to replace it.

Implants are expensive initially but they tend to last a long time. I have two that were installed 12 years ago. If you figure out the cost per year for having a tooth there, the price doesn't seem too bad. I've spent more on car repairs.
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Old 11-15-2011, 09:24 PM
 
6 posts, read 83,975 times
Reputation: 15
I had the dentist email me my x ray of the tooth so I have been looking at it and it does not look good! If I could figure out how to get it on here I would share it- anyone know how to post an xray on here without having to use my name or email?
I also have on my email my full mouth x rays from 2009 and 2011. I have had a lot of dental work done.
Anwyay- in 2009 there was no crack or whatever it is- and in 2011 there is.
the tooth also hurst- it just feels wrong! I have put in 2 calls to the dentist I last saw since last week trying to get more clarification but no reply yet.

I also emailed my x rays to my favorite- amazing far away dentist who had said he would have a look at it for me.

ANyway- I am just bummed out because I had so many dental problems and so much work done- and I go to the dnetist (actually the periodontist) very often and I am bummed he didn't see this starting to happen or mention to me years ago that I should get a better restoration on the tooth. the gum around the tooth looks fine but the tooth itself hurts.
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Old 11-26-2011, 03:35 PM
 
1 posts, read 21,261 times
Reputation: 18
Quote:
Originally Posted by Treeroot22 View Post
Thanks for the response. Sorry I was unclear about a few things:
I think they actually said the line shows that it is seeping- not leaking.

Secondly, I had thought I was getting a crown but now that I went to a better dentist he said it doesn't even look like a crown but like bonding.
I was so unsure what to do after the root canal (5 yrs or so ago). Dentists were telling me I couldn't leave the tooth alone without a crown or it would crack. I thought the local dentists was putting a crown on it.

When I refer to the fear of the crack I mean a crack in the tooth, not the crown.

I am trying to figure out if what I am feeling could be indicating a crack in the tooth. The last dentist I saw said the darker line on the toth x ray may indicate a crack in the tooth, but it also could be something else.

He said if it is cracked the tooth is a goner.
Even if it is cracked I am wondering if a good strong new crown will enable me to hold on to what is left of the tooth.

Would it have been better for me to have not had anything done to the tooth after it was RC'ed? I wanted to leave it alone but I was advised to get it crowned.

But I am thinking perhaps the local dentist shaved off some of the tooth and just reloaced it with some kind of partial crown but it doesn't go around the tooth.

I ahve been to 3 dentists in the past cuople of months trying to figure out what is going on w- the tooth as it looks and feels weird/ bad. Even the last dentist, who as I said is a good dentist, wasn't clear.
He said I need a new restoration. I agree with that. If he can simply take off whatever it is I have going on, and put a good new crown on it, then I think he is the person I want to do it. However. I am unclear from him about what he will do in the appointment if he does find a crack. I have a call into him to clarify it.

So I am just wanting to see if anyone can advise me regarding:
-Should I have left the tooth alone after a RC or would that have caused other prolems?

-If in fact what I have is not a proper crown, can this cause the Tooth to crack?

-If the tooth is cracked, because it is RC'ed, would I feel something to indicate that?

I am having a hard time identifying what I feel on the tooth. I notice it alot and it doesn't feel good- but it is not a sharp pain, more of a dull discomfort.
TreeRoot - keep at it. You showed too much respect to a person who was pissing on your post. Keep searching for the best endo you can find that deal specifically with your issue. And if someone craps on you - give it back. Acting like they didn't gives them a license to do it. Be well.
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Old 12-04-2013, 10:28 PM
 
Location: San Antonio
3 posts, read 12,819 times
Reputation: 10
CptnRn-
I'm having a similar problem. I was told that I broke the root of a molar that previously had a root canal and crown placed. I'm facing possible extraction and either bridge or implant. Did you go to a specialist, like an oral surgeon, or to a regular dentist?
Thx.
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