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Dentistry/Molar Tooth Extra Nerve Supply and Root Canal

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Question
Hello

I had a crown fitted on a molar tooth (lower right, first molar next to the premolar) in place of an old metal filling for cosmetic reasons - the tooth itself had no further decay or infection, I just wanted it to look nicer.  Since fitting the crown there has been awful sensitivity and inflammation which has been going on for over a year now.  I have had root canal treatment but the tooth is still inflamed (not infected) and I have had the canals cleaned out and sedative material put in many times over the past few months but it's not made any difference and I experience electric shock type pain in that tooth regularly (it's not really sensitive to hot/cold/sweet and I can bite down on it but it still randomly aches and jars several times a day).

My dentist has told me that one of the canals is blocked which is probably causing the pain and I have an additional nerve supply to my molars.  I have been left to decide what to do but other than having the roots removed and being left with a gap I don't know what can be done.

I already have an implant on the equivalent tooth on the left-hand side and I'm not in a hurry to get another implant but I don't want to be left with a gap.

Do you know what else I could do?  I suggested an apicoectomy to get to the blocked canal but my dentist said my tooth was too far back for this...it's the first molar next to my premolar, is this the case?

I would be grateful for some advice with regards of what the options are for this as I don't want to be in pain all the time.

Thank you

Answer
Dear Louise,

If you must lose the tooth, and you don't want an implant, then you could have a bridge (cemented permanently) or a partial (removable) made.  What you decide depends on how you feel about the different types of appliances.  You can go to nobhilldentalcenter.com and click on dental videos, then on bridges and/or partials.  This will give you a visual of how each are done, as well as a narration about them.

Before you have this tooth removed, make sure your dentist had adjusted it at least one millimeter out of your bite.

Let me know what happens.

Good luck.

Dentistry

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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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