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Dentistry/pain on chewing after composite filling - crown?

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Question
Hi Dr Mayank,

I recently had a filling replaced in my first lower left molar because of decay.  My dentist said it was a deep filling.
A week later I noticed sharp pain while eating a sandwich made from crusty bread. It only occurred occasionally.

I saw my dentist again who checked the bite. The only way she managed to isolate the tooth bothering me was when she drilled.to refine my bite. It was while drilling on the filling on one cusp of my tooth. A sharp nerve pain.  

My dentist said I must have a crack and recommended a crown. I asked whether there could be a problem with the bonding of the composite filling recently placed and she said "no if that was the case you would have pain all the time while biting.  

I am currently trying to conceive and I want to a avoid dentistry while pregnant.

My question is, which of the following are best options:
1. Do nothing and avoid chewing on that side of my mouth (at least until after baby born if I manage to conceive)
2. Ask to have the filling replaced (I did talk mid filling procedure and I wonder if the composite was contaminated with saliva).  But I am worried I will make the problem worse with more drilling and filling.  My dentist did offer to replace the filling with a temporary filling and see how that went - but she said that would only be for my peace of mind).
3. Rush in and get the crown at a cost of $2300.  The thing playing on my mind is that an implant only costs $2500.

Ultimately my primary concern is pregnancy and safety of baby, and time is of the essence with trying to conceive because I am 38. I really want to avoid dental treatment while pregnant.  I worry a b out infection too if I do nothing.

I would very much appreciate you advice :-)

Answer
hi jodie
let me add to your confusion: go ahead get a root canal done and then a crown. that way the problem of pain will get solved permanently and you would be able to enjoy your pregnancy!

so in a sense i am going with option 3

best wishes dear

dr m

Dentistry

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dr mayank kaurani BDS, MDS

Expertise

rootcanals, cosmetic dentistry, dental pain, cavities, tooth colored fillings, endodontic diagnosis, post & cores, ceramic veneers, composite fillings, dental whitening, bleaching etc. please remember: i cannot treat you online and neither can i touch your teeth or test their health! i can give you general suggestions and critically evaluate various treatments and offer my advice.

Experience

14 years of clinical experience. i am a professor in a postgraduate dental school, in the department of endodontics. my primary field of specialization is in endodontics and conservative dentistry. i am a consultant endodontist in private dental clinics and run my own clinic restricted to conservative dentistry & endodontics since 2006.

Organizations
DENTAL SPA, JAIPUR (INDIA). Mahatma Gandhi Dental College, jaipur(india)

Publications
new york state dental journal journal of contemporary dental practise

Education/Credentials
BDS, MDS (conservative dentistry & endodontics)

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