ROOT CANAL CAUSED BY FILLING: DENTIST AT FAULT?

Discussion in 'Dental Archive' started by David, Jun 11, 2004.

  1. David

    David Guest

    For the second time since I have been with my current dentist (about 2
    years), a filling in one of my teeth has led to the need for root
    canal treatment in that tooth. I am wondering whether my dentist could
    be in any way at "fault" for doing a less than optimal job giving the
    filling. Might it be time to look for a new dentist? Or is it common
    and natural for a tooth to need a root canal shortly after receiving a
    filling? Any thoughts on this would be appreciated.
     
    David, Jun 11, 2004
    #1
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  2. David

    jwndds Guest

    Most likely it is due to deep caries prior to the dental visit. Often a
    communication with the pulp is found when the dentist is excavating the
    carious dentin. I tend to forewarn patients that the caries may be deep and
    the possibility of a root canal exists. Unfortunately for you I'd say there
    is little you can do.

    Before blaming the dentist on this one I would re-evaluate your oral hygiene
    and caries state. I'd have a hard time seeing a dentist pushing into the
    root canal system intentionally where the communication doesn't already
    exist.

    jwn dds

    "David" <> wrote in message
    news:...
     
    jwndds, Jun 11, 2004
    #2
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  3. David

    strcmp Guest

    In article <>,
    says...
    Either your cavities are so deep that they go all the way to the pulp,

    - or -

    the dentist is carving out too much tooth because he's overzealous or an
    idiot,

    - or -

    the dentist is carving out too much tooth just so he can sell you an
    expensive root canal and an expensive crown.

    Hopefully, it's the first case. If it's either of the second cases, then
    you need to drop that fucker and find a new dentist.
     
    strcmp, Jun 11, 2004
    #3
  4. David

    W_B Guest

    On 10 Jun 2004 21:02:29 -0700, (David) wrote:
    Probably should have done the RCT to start with.
    If decay is very deep even if the pulp is not exposed
    it is common for the need for RCT at a later date.

    I suspect the dentist was hoping that the tooth would
    respond favorably avoiding the need for RCT
    (root canal therapy)


    --

    W_B

    Take out the G'RBAGE
     
    W_B, Jun 11, 2004
    #4
  5. David

    Earth Guest

    In article <>,
    says...
    Crap. I've had pulps exposed while having cavities drilled. The dentist
    just did a pulp cap, and then filled in the hole. The most recent one is
    almost fours old, now, without complications.
     
    Earth, Jun 11, 2004
    #5
  6. On Fri, 11 Jun 2004 15:08:24 GMT, W_B <> wrote:
    And its another reason why not to delay that treatment ...........
    sometimes the poor dentist gets blamed for what he didn't do!


    JOEL
     
    Joel M. Eichen, D.D.S., Jun 11, 2004
    #6
  7. On Fri, 11 Jun 2004 11:15:21 -0400, Earth <>
    wrote:
    Four hours old ....... give it more time.

    JOEL
     
    Joel M. Eichen, D.D.S., Jun 11, 2004
    #7
  8. David

    W_B Guest

    On Fri, 11 Jun 2004 11:15:21 -0400, Earth <> wrote:

    Sometimes a direct pulp cap will work.
    95% of the time the tooth will need RCT
    within five years.

    Only one more year to go !

    Seriously the pulp cap that you had done
    is probably sucessful.


    --

    W_B

    Take out the G'RBAGE
     
    W_B, Jun 11, 2004
    #8
  9. David

    W_B Guest

    On Fri, 11 Jun 2004 11:49:14 -0400, "Joel M. Eichen, D.D.S." <> wrote:
    If the tooth is symptomatic (hot, cold, percussion)
    RCT is usually indicated.
    --

    W_B

    Take out the G'RBAGE
     
    W_B, Jun 11, 2004
    #9
  10. We agree ........ 95% PLUS .......

     
    Joel M. Eichen, D.D.S., Jun 11, 2004
    #10
  11. David

    Dr. Steve Guest

    It could be the dentist, and it could be your teeth. No way to tell from
    here.

    --
    +=_-+=_-+=_-+=_-+=_-+=_-+=_-+=_-
    Stephen Mancuso, D.D.S.
    Troy, Michigan USA
    .
    ~~~~~~~~~~~~~~~~~~~
    "David" <> wrote in message
    news:...
     
    Dr. Steve, Jun 11, 2004
    #11
  12. "Dr. Steve"

    Why is everyone so quick at blaming the dentist.
    Anytime one touches a tooth with the drill there is a risk of a root
    canal and the patient needs to be informed. This is the most unlikely
    thing that is happening here.

    We dentists do not go into this profession and invest so much in our
    education to intentionally overtreat.
    Thats like saying the cardiologist places extra coronary stents on
    heart patients so that he can make more money. It is obsurd to suggest
    this in the first place, it does not help anyone.

    Who is at fault for this tooth needing a filling in the first place.




    <dr.steve.@.m.a.n.c.u.s.o.d.d.s.com> wrote in message news:<lEpyc.7343$>...
     
    Alexander Vasserman DDS., BS., Jun 12, 2004
    #12
  13. On 11 Jun 2004 23:28:39 -0700, (Alexander
    Vasserman DDS., BS.) wrote:
    Its a national pastime ......

    WE AGREE.

    Sometimes even looking at a tooth results in root canal treatment.
     
    Joel M. Eichen, D.D.S., Jun 12, 2004
    #13
  14. David

    David Guest

    Thanks to all for the helpful responses. At this point I can refine my
    question: let us grant (as AV does) that "anytime one touches a tooth
    with the drill there is a risk of root canal" etc.; but is it probably
    that this risk is dependent upon the individual dentist, or, on the
    other hand, would it be essentially inevitable, from the very
    beginning (before the tooth had been touched), that the touth would
    need a root canal? ** In other words, if a different dentist had
    performed the filling, is it (significantly) possible that the tooth
    would not, in fact, have needed a subsequent root canal? **

    Of course, I know that no one can speak conclusively without having
    examined my tooth. But it would be helpful to hear dentists' educated
    opinion, based on their experience.
    Thanks,
    David
    (Alexander Vasserman DDS., BS.) wrote in message news:<>...
     
    David, Jun 12, 2004
    #14
  15. On 12 Jun 2004 10:49:48 -0700, (David) wrote:
    Either way .........

    Some dentists will try to avoid root canal therapy (I am one) while
    others do not want to waste time and money.

    JOEL

     
    Joel M. Eichen, D.D.S., Jun 12, 2004
    #15
  16. David

    Vaughn Guest

    "David" <> wrote in message
    news:...
    Two thoughts:

    1) A "different" dentist could have made a shallower restoration, sealing some
    of the decay under your new filling. The result may have lasted a year or two,
    but (I think) the fate of the tooth would also be sealed. In this case the
    "different" dentist would be doing you no favor.

    2) Perhaps a dentist could comment here (in the case where the nerve is not
    exposed): Could a more gentle (but perhaps more time consuming) technique
    generating less burr-induced heat or less vibration result in less insult to the
    pulp and therefore give a better outcome?



    Vaughn
     
    Vaughn, Jun 12, 2004
    #16
  17. David

    Dr. Steve Guest

    There are very few dental "hacks" out there. the odds of you finding one is
    rather remote. Most likely, your tooth was ready to die, period.

    --
    +=_-+=_-+=_-+=_-+=_-+=_-+=_-+=_-
    Stephen Mancuso, D.D.S.
    Troy, Michigan USA
    .
    ~~~~~~~~~~~~~~~~~~~
    "David" <> wrote in message
    news:...
    news:<>...
    news:<lEpyc.7343$>...
    from
    2
    could
    the
    a
     
    Dr. Steve, Jun 13, 2004
    #17
  18. David

    Dr. Steve Guest

    some
    two,
    the
    Very true
    not
    to the
    The more heat generated, the more likely the pulp is to die. The more often
    the tooth has been treated, the more likely it is to die. The larger the
    restoration the more likely the pulp is to die. Certain materials seem to
    be kinder to the pulp, but that has not been well proven. Most often the
    fate of the pulp is sealed before the bur/diamond ever touches the tooth.
     
    Dr. Steve, Jun 13, 2004
    #18
  19. David

    StovePipe Guest

    David <> wrote:
    news:<>...

    If you could answer this question, you'd be God. There is no way to
    conclusively know how a tooth will react to a new procedure. This is why
    most dentists think twice about doing too many re-fillings on teeth that
    are potential pulpitis cases. If you are unwilling to trust your
    dentist, maybe you could phone the local dental society and ask for
    someone who has a lot of experience with those kinds of teeth.
    HTH
    --
    Cheers/Chüss
    SP
    'A Day...' is not a real email
     
    StovePipe, Jun 14, 2004
    #19
  20. David

    StovePipe Guest

    Vaughn <> wrote:
    Unfortunately, these are not usually cases that can be treated with the
    Laser: the residual amalgam causes spark-like reflections that will
    damage the handpiece mirror and the delivery system. This is a pity, as
    the Laser tends to soothe these cases.

    One might try the "new" Morita soft burs that go on the electric
    slow-speed handpiece: they're called SMART PREP burs and they're
    designed to cut into decay but they get filed down themselves when in
    healthy dentin. So, when you see that happening, you stop and
    re-evaluate the prep. Another thing that can be tried is using a caries
    indicator dye. You put it in the tooth and let it sit for 30 secs, then
    spoon out only what is stained. There is also a product called CarieSolv
    that dissolves the carious dentin and lets you gently spoon it out. This
    gives you the maximum tactile ability.

    That said, I must admit that personally, I don't like putting off root
    canal therapy too long: deep fillings, that have been re-re-done, with
    eugenol based theraputic agents, give the patient teeth that are slowly
    calcifying themselves in the nerve spaces (pulp chambers). This is
    called mommification of the pulp. One ends up with teeth that become
    archeologic expeditions to re-open the nerve space with very high
    probablilty of damaging the teeth and therefore decreasing their life
    expectancies. No one likes to have root canals done on their teeth.
    THERFORE, waiting too long and letting the teeth become problem cases
    where the root canal is difficult to do, requiring multiple visits, is
    to be avoided.
    HTH

    --
    Cheers/Chüss
    SP
    'A Day...' is not a real email
     
    StovePipe, Jun 14, 2004
    #20
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