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Dentistry/temporary crown sensitive question

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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:
It is an undesirable affect of tooth preparation, but your dentist is right.  If your tooth is sensitive to sweets, it might indicate that the preparation is too close to the pulp, nerve.  This is not an emergency at this time, and you can wait until Monday morning.  First thing Monday morning, call your dentist and tell him about it.
Have a great weekend.
Dr. Zev Kaufman

Dentistry

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Zev Kaufman, D.D.S.

Expertise

I can answer any question from simple routine dentistry to very complex dentistry with emphasis on reconstructive, cosmetic, and implant dentistry. My expertise is in co-ordination of very complex treatment plans with other dental specialists or as a one-man-team, since I have extensive training in Prosthodontics, Surgical Implantology, and orthodontics.

Experience

Over a decade in private practice of Surgical Implantology and Prosthodontics. Founder and owner of Prosthodontics & Implant Surgery of Manhattan, PC. Clinical Assistant Professor at the Post-Graduate Department of Periodontics & Implant Dentistry at New York University College of Dentistry. Lecture weekly since 1999 on advanced Implant Prosthodontics at New York University College of Dentistry Post-Graduate Program in Periodontics & Implant Dentistry. Former clinical assistant professor of Dental Radiology at the NYU College of Dentistry. Former clinical and lecture faculty at Lincoln Hospital, Dental residency program. Former clinical and lecture faculty at St. Barnabas Hospital (Bronx, NY) dental residency program. Lecture nationally on Prosthodontics and Implant Dentistry.

Organizations
Memeber of the American College of Prosthodontics. Memeber of the Acacdemy of Osseointegration. Member or the Omikron Kappa Upsilon (OKU) Honors Dental Society. Member of the American Dental Education Association.

Education/Credentials
Graduated with Honors from New York University College of Dentistry. Post-Graduate training and certificate in the specialty of Prosthodontics. Post-Graduate training and ceritificate in Surgical and Prosthetic Implant Dentistry. Honors-program in Comprehensive and Applied Practice Management. Honors-program in Orthodontics.

Awards and Honors
NYU Cervice award to the community. OKU honor society. National Dean's List. National Who's Who.

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