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Dentistry/question about sensitive temp. crown

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Question
About 8 days ago, I had an upper molar prepared for a crown. This is because the tooth had an extremely large old silver filling that was starting to break down. I didn't have any sensitivity in the tooth, but my dentist warned me that because the filling was so huge, there was a chance I could break the tooth and I was safer if I had it crowned. Anyway, everything went well during the procedure, and my dentist said that I could expect some sensitivity but to call him if I had extreme pain that woke me in the middle of the night, because sometimes after preparing a tooth for a crown it can damage the nerve leading it to need a root canal.

Right now I have a temporary crown on the tooth and will be going back in about a week and a half for the permanent crown.

I have been feeling fine since the procedure aside from having a little sensitivity to cold. My dentist said that was normal, and it's more worrisome if there is sensitivity to heat. I do not have any sensitivity to heat. However, tonight I was eating a piece of chocolate. I was not chewing it but just letting it melt in my mouth and the tooth became extremely sensitive. I'm guessing it was from the sugar/sweetness. It took a while to calm down. Is this normal? Or does this mean I will need a root canal? It is still not sensitive to heat at all. Just a little bit to cold, and this strong sensitivity to sugar that I just found out about tonight. Of course this started on a Friday night and I really do not want to call the dentist's emergency number for this question, but am anxious to wait for Monday for an opinion.

Any advice would be greatly appreciated!!

Answer
Dear Sara,

With the exception of several days after treatment, tooth sensitivity is never normal.  Your chocolate experience suggests that your temporary crown is not sealed well to the underlying prepared tooth.  Please contact your dentist today and let him know about your experience, and he will likely have you come in to adjust and recement the temporary.  When you see him, tell him to contact me about how he can complete and cement a permanent crown in less than 2 hours and eliminate the need to use a temporary.

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Howard Finnk, D.D.S., P.A., CEO

Expertise

I am a Family, Implant and Cosmetic dentist. I will answer questions on any aspect of dentistry and matters relating to the smile, gums, jaws and lower face. Member American Dental Association, Florida Dental Association, Broward County Dental Association, and Atlantic Coast District Dental Association. I have served as District Council Member of Alpha Omega, as well as serving for one term as its President. I am also a member of The Vedder Honors Society, Broward Dental Research Clinic, and Mount Sinai Hospital Guild. I have served as a Volunteer for Project Dental Health and The Tri-County Dental Health Council.

Experience

Having attained over 30 years of clinical experience in private practice in Michigan, in 2001 I was re-certified by taking and passing the Florida State Dental Board Examination. After moving to Florida, I spent nearly 10 years re-honing my skills while working as an Associate Dentist for several large dental groups. In September, 2004, I was appointed Adjunct Clinical Professor at Nova University's College of Dental Medicine. I am certified in placement of Mini Dental Implants, and I am Director of The Florida Implant Center (floridaimplantcenter.com). On March 1, 2010, at the age of 62, I began all over again by buying a dental practice near my home in the Fort Lauderdale area. As sole owner and Chief Dental Officer of the new Nob Hill Dental Center (nobhilldentalcenter.com), I can now carefully provide dental care to patients who care, all within a caring, joyful environment. Over my career lifetime, I have provided thousands of diagnoses, fillings, crowns, bridges, root canals, periodontal treatments, TMJ therapies, partials, dentures and extractions, and dozens of implants for my patients. The only aspect of dentistry with which I have very little experience is orthodontics.

Organizations
American Dental Association, Florida Dental Association, Broward County Dental Association, Atlantic Coast District Dental Society, Vedder Honors Society, Broward Dental Research Clinic, Alpha Omega Alumni Association, and American Association of Dental Implantologists. Formerly, American Academy of General Dentistry, Michigan Dental Association, Macomb Dental Society, Detroit District Dental Society, Tri-County Dental Health Council (a charitable dental care organization)

Publications
"How To Save Money At The Dentist" Going to press soon.

Education/Credentials
Bachelor of Arts and Sciences in Psychology from Wayne State University Doctor of Dental Surgery from University of Detroit College of Dentistry Adjunct Clinical Professor, Special Needs Department, Nova Southeastern University College of Dental Medicine, Fort Lauderdale, Florida

Awards and Honors
Membership in The Vedder Honors Society

Past/Present Clients
HIPAA rules do not allow me to post this information.

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