Are you a dentist: please weigh in on your diagnosis, patient has pain in bottom tooth

Discussion in 'General Dentistry Discussion' started by jacobsdental, Jul 21, 2018.

  1. jacobsdental

    jacobsdental

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    Panoramic cropped - no notes.jpg
     
    jacobsdental, Jul 21, 2018
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  2. jacobsdental

    MattKW Verified Dentist

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    Not enough detail in your request. And the radiograph is far too pixellated to assess the RCTs.
    What do you mean by " pain"? Consider this sheet that I give to my assistant dentists.
    1. Eating pressure?
    2. Hot or cold?
    3. Percussive pain?
    4. Taking analgesics; if so, to what effect?
    5. Pain to ear, or to temple?
    Just going from what I can see, there's been a deep composite on the premolar. That'd be my first guess.
     
    MattKW, Jul 22, 2018
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    honestdoc likes this.
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  3. jacobsdental

    honestdoc Verified Dentist

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    I agree with Dr. MattKW with the premolar as well as its margin gaps. Also from the image quality, it appears that restorations of the 2 posterior molars have open margin gaps or large pooling of radiolucent cement/bonding agent.
     
    honestdoc, Jul 23, 2018
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