Dentistry/broke tooth care
Had pain with biting and temp sensitivity re: tooth #2 fall of 2011. This tooth has multiple fillings. Dentist said pain may go away with time- no xrays taken. June 2012, continued with same symptoms- no x-rays taken b/c I was pregnant (even though my OB said it was ok). Oct 2012, the tooth broke- no x-rays taken (OB said ok). Told I would need a crown, but not while pregnant (OB said local anesthetic was ok, even with epinephrine) and to schedule crown for a few weeks after baby's birth. Temporary crown placed late December without x-ray. Throbbing pain started next day, saw dentist 3 days after temp. X-ray taken- said it was fine, adjusted bite. 2 weeks later pain had calmed. Permanent crown placed. Ok at first, then temp sensitivity and pain with biting began, but unable to localize exact area of pain. Saw dentist 2 weeks later, took x-rays, said it was fine and was due to grinding teeth or my sinuses. 2 days later, throbbing escalating pain localized to tooth #2. Was told to call an endodontist for root canal. Endodontist saw small abscess at nerve root base and told me I tested positive with symptoms and I am now scheduled for root canal.
Is it customary to place a temporary crown without checking an x-ray? Is it typical for the endodontist to see an abscess but the dentist not to see it? Could something preventative be considered prior to a tooth breaking?
Many dentists are reticent about taking X-rays of pregnant women as well as performing non emergency treatment. Of course there are times when we have to perform dentistry on women while they are pregnant. If possible I try to plan my treatment for the beginning of the third trimester.
As to taking X-rays when crowning a tooth. I personally take a pre-operative radiagraph and often take a bite-wing X-ray when fitting the permanent crown. It is possible that endodontists are more likely to notice an endodontic area at the apex of a tooth. Often dentists will send X-rays to an endodontists to evaluate.
As to what might have been done to prevent your tooth from breaking? Possibly if you were wearing a night guard it might have made the breakage of #2 less likely.