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  Views: 3,048
Published: 18 years ago
This is a reply to # 35,230


I did not write you explicitly said "DiamondCrown causes teeth to be root canalled or Extracted" I wrote you're making that "suggestion" based on these quotes:

>>"If you wait you will need a root canal or an extraction!!
>>"In my opinion there is something foul with these diamondcrown fillings. You are not the only person to have this exact problem. It seems most do"

I am not defending DiamondCrown (it may be bad), but your statements definitely suggested that pain maybe related to THIS material and without doing anything about it you "guarantee" "extraction" or "root canal". I know your intentions are good but this is a bit too alarmist for me and the second suggestion that "most have problems" is a huge assumption too. In fact, I think probably the opposite is true. Most who have uneventful replacements don't report it on curezone or anywhere else (the silent majority). The ones that do obviously complain and are looking for help (squeaky wheels). DiamondCrown just happens to have a lot of buzz here so naturally it gives the impression there's something "foul" with DiamondCrown. I think that's bogus. There was something foul with your tooth to begin with or the way the filling was put in.

If everyone was getting Admira bond (just an example), there would be numerous stories of problems with that too. From what I've read, this is a pretty common occurrence with MOST composite replacements in general, so I stick to my premise that no matter what material was put in your tooth you probably would have ended up with pain and sensitivity. I also believe there's no need for calling 911 if there's pain after 3 days. Frankly, pain IS NORMAL after a procedure and I do not know where you got this:

>>"You should not feel any pain at all after composites are put in. Except at the very most a slight sensitivity for 1 to 3 days... at the very most"

At the very most? Where did you get that range? What is your source for this? Your tooth was just operated on, why would it recover in 3 days or have slight or no pain? Practically every site I've read, and even my Bio Dentist says when ANY type of filling is done on a tooth, some sensitivity to cold and pressure is normal. And it can last for as long as a MONTH after the filling is done. Now, if a Dentist who specializes in replacements for 20+ years is telling me this, what more can I go by? I admit, it's possible he's just saying that so I will leave it alone, and then he can generate more business income by doing an extraction he knows is going to happen, but that would be pretty diabolical.

The key in my opinion is how much pain, how intense, how much it lingers, and what is the progression. In many cases from what I've researched, the lining of the nerve (pre-replacement) might not have been in good shape to begin with, and therefore the natural trauma incurred by the removal of the old filling produced inflammation (decay or not). This could be reversible or irreversible (pulpitis) and the pain is typically in the form of cold sensitivity.

Yet another (as you outlined) is the pain associated with biting down (pressure). In most cases with composite replacements that is a hyperoclussion and needs adjustment. I believe this was Marnica's case. It could also be a cracked tooth as you mentioned. This happens more often than you think with high speed drills on teeth with pre-existing cracks which you would never have known existed until the tooth was worked on which then exacerbated the defect. It probably didn't help to have a silver filling in there for many years.

I also had the pressure sensitivity on my first series of replacements on my right side (yes, that was about 1 month ago now). When I had my second half done (left), I had an adjustment to that side that fixed the pressure pain. I'm pretty much pain free on the right now so I'm hoping it was only a hyperoclussion. My left side still has some problems with cold sensitivity. That was done about 1.5 weeks ago. I'm not ready to jump off a cliff and proclaim a "suicidal" nerve just yet. I was also advocating that to Marnica (just wait and see if it improves before she cried foul.) I don't think that's being too causal about it. If it's truly a dieing nerve, it's going to produce chronic pain without improvement for quite some time before it "gives up" as you suggest.

All these problems are well-known risks amongst dentists who do frequent replacements. And it should be something the patient is aware of as well. But this is the risk we take to get the damn Hg out, and it's worth it to me. Many times the tooth does not recover. It should be monitored closely and not taken lightly. Again, this gets back to "is it getting better or not"? You can't tell me on the one hand "pain is not normal, your body knows best, its trying to tell you something" then on the very next tell me "there's no way to know if I'm getting better and I may be fooling myself" That's BS alarmism to me.

You are correct, a dieing nerve does shut down eventually but it's not going to happen that fast. If there's still significant pain with no improvement after 2 or more weeks, then my body probably IS telling me something, in which case I'm back in the dental chair saying "Hey, what's up here?" But if it is progressively getting better, my instincts tell me it is more likely recovering than dieing.

We obviously disagree on this, which is fine. I don't really care if you think I'm clueless or not. I trust my instincts, you trust yours, and we post them here for all to read and make up their own minds. That's the beauty of the forum.

BTW, great info on the salt water soaking. I'll definitely try it and thanks for such long informative posts. I do enjoy and take great interest when you post.

Best, PB


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