Sensitive to cold water & pain after the bridge permanently cemented
Sensitive to cold water & pain after the bridge permanently cemented
Added: January 22, 2008 - 8:46 PM
By: Patient Email Withheld, Houston, TX
Need Dentist / Specialist:
Yes
Provide Cost Estimate:
No
X-rays Available:
No
Case Summary
Bridge
Teeth:
Case Description
I had 4 unit bridge permanently cemented on my upper right on Dec 11, 2007. My dentist uses my wisdom and another one (do not know the number) as the anchors for 2 missing molars. Since then I'm sensitive when rinse my mouth with cold water and once in awhile (few days) I had a throbbing pain in the rear of my bridge. I went to see my dentist on Jan 7 to see if he can do something to relieve my pain and issue of sensitive to cold water. He checked the xray and did not see anything wrong with my wisdom. He put me on antibiotic and anti inflamatory for one week and told me that if the pain comes back I need to see the enthodontist for a root canal. I felt much better few days after taking these medicines. But 5 days after I finished the antibiotic the pain came back off and on for about 10 minutes and stopped (most of the time the pain came in the evening) And I still can't rinse my mouth with cold water. If nothing wrong with the tooth why I need to have a root canal? Is the root canal will relieve both the pain and the sensitive to cold water? I'm frustrated now because I trusted my dentist advice for having the bridge. He said that is the best option. BUt now I did research and knew that implant is a best option. But he did not discuss this option with me. I appreciated if you can help me in making decision on listening to my dentist to have root canal or go for a 2nd opinion.
Thank you. Lan
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Reply: Sensitive to cold water & pain after the bridge permanently cemented
added: January 23, 2008 - 4:17 PM
Hi,I almost guarantee that the bridge is in cross bite and thus the occlusion is poor. Usually the wisdom teeth alignment is more toward the buccal and should NEVER be used as an abutment for a bridge, not to mention four unit bridges. All you need is the first molar, thus you only have to place one implant to replace the first molar. There is no need to replace the second molar, since it only plays a minor role in function (5% chewing efficiency). Moreover, you can never floss the upper bridge and thus it probably only last five years. I would predict it would start bleeding on the gum within one year, then you may have foul smell from the area. Even if you did the root canal, it would be unpredictable and would likely to fail within five years. Very seldom people do root canal on the wisdom teeth. I would like to say NEVER. Now this is a solution to your problem. Let''''s cut off the bridge, ask for the money back as fast as you can (if you delay for couple months you will not be able to), you can keep the crown on the premolar. Place an implant on number 3 (first molar) and that is it. At our office we guarantee the implant lifetime. We have over a thousand case to show to you. And we also have a CT SCAN on board if you ever need it (we only charge 99.00 for a CT SCan). Please visit our office for a consultation. The reason why you have sensitivity is due to poor occlusion, poor marginal fitting due to wisdom teeth, and poor access to oral hygiene.