beedeejon wrote:
Isn't there a more scientific

> manner to determine the problem one hundred percent?
>

Short answer: No.


X-rays help determine the depth of cavities and fillings as well
as show radioluscencies in the bone (sign of infection). However,
it is a two dimensional view and does not show everything. A new
3-D type of tomography is being developed which will show a clearer
picture of what is really going on, but it still will not show
whether the pulp tissue inside a tooth is healthy or not.

Most of the time, tooth pain is fairly easy to diagnose. There is
a large cavity or an obvious defect on the X-ray to indicate the
problem tooth. Usually the patient can point to the exact tooth
that is hurting.

In a few cases, there may be no obvious cause for the pain. In others
there could be any one of several teeth causing pain and the trick is
to find out which one to treat first!

Not all tooth pain can be treated with a root canal. Some teeth may
be cracked beyond repair (though seemingly sitting there in one
piece). Some cracked teeth just need a crown or onlay. Some pain can
come from exposed root surfaces agravated by tartar control or
whitening tooth paste.

Teeth can also be painful because of occlusal trauma. A 'high'
restoration can trigger problems.

Clenching also needs to be considered. Both for damaging teeth
and causing pain in surrounding structures (TMJ, etc.).

Normally it doesn't take 3-4 weeks of significant pain to figure out.

JMO,
Steve

On Dec 7, 7:23 pm, Steven Fawks <tuthjoc...@myturbonet.com> wrote:

> beedeejon wrote:
>
> Isn't there a more scientific
>

>
> Short answer: No.
>
> X-rays help determine the depth of cavities and fillings as well
> as show radioluscencies in the bone (sign of infection). However,
> it is a two dimensional view and does not show everything. A new
> 3-D type of tomography is being developed which will show a clearer
> picture of what is really going on, but it still will not show
> whether the pulp tissue inside a tooth is healthy or not.
>
> Most of the time, tooth pain is fairly easy to diagnose. There is
> a large cavity or an obvious defect on the X-ray to indicate the
> problem tooth. Usually the patient can point to the exact tooth
> that is hurting.
>
> In a few cases, there may be no obvious cause for the pain. In others
> there could be any one of several teeth causing pain and the trick is
> to find out which one to treat first!
>
> Not all tooth pain can be treated with a root canal. Some teeth may
> be cracked beyond repair (though seemingly sitting there in one
> piece). Some cracked teeth just need a crown or onlay. Some pain can
> come from exposed root surfaces agravated by tartar control or
> whitening tooth paste.
>
> Teeth can also be painful because of occlusal trauma. A 'high'
> restoration can trigger problems.
>
> Clenching also needs to be considered. Both for damaging teeth
> and causing pain in surrounding structures (TMJ, etc.).
>
> Normally it doesn't take 3-4 weeks of significant pain to figure out.
>
> JMO,
> Steve

Reading the case i think that the pain is definitely with the lower
molar which is getting reffered to the upper one.in cases with acute
pulp necrosis and abscsss one may not see any abnormality in the x
rays and diagnosis is solely dependant on clinical judgement and
vitality test i think tjat your dentist has diagnosed it correctly and
you should go ahed with the treatment immediately....regards ...dr
sameer bhandari