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Dentistry/Severe pain on tooth number 11

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Question
Hi Dr. Finnk,

For several years now I keep getting this throbbing and pressure pain which seems to be coming from tooth number 11. After numerous root canals and retreatments the pain is still continuing.

Recently, for the past three months I have seen about 3 to 4 dentists  that have no idea where my pain is coming from.

As you can imagine this is very frustrating, because I keep telling them that the pain is there but yet nothing is visible on the x-rays.

I did have a CT scan of the mouth done and everything looked normal according to the oral surgeon which I saw recently.

Please give me some advice on how to proceed from here, as I am in excruciating pain, and nobody seems to be helping me.

Also, for teeth eight and nine when my general dentist extracted them and put in dental implants and crowns I have a space in between that food is getting stuck in there and it's causing me pain and for my gums to bleed.

Is there anyway to fix this and if so please explain to me how.

Thank you

Carolina

Answer
Dear Carolina,

Have any of the dentists you have seen been root canal specialists (endodontist).  If not, have one of your dentists refer you to a good one.

If you have already seen at least one root canal specialist, and that person cannot find a reason for your pain, ask one of your dentists to adjust your throbbing tooth completely out of your bite, so that this tooth cannot be felt when you put your teeth together.  After this has been done, wait one week.  If this tooth is still throbbing, and no dentist or specialist can find a reason, you should see a neurologist to rule out any other cause of your pain.

About food getting caught between your front teeth:  Yes there is a way to stop this.  It is by using custom abutments (I am assuming that your implant dentist did not).  These are the parts that fit into your implants under your gums, and are shaped to resemble your tooth root as it emerges from your gum.  Then your crowns can be made to fit together as natural teeth do.  I know this may be hard for you to visualize.  It's hard for many dentists to visualize.

Let me know how things turn out on both fronts.

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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