AboutJoel S. Teig, DMD, FABOMS Expertise I am a board certified oral and maxillofacial surgeon and I am available to answer questions related to tooth extractions, implant insertion, facial recontruction, facial and oral tumor removal, TMJ dysfunction and various successful treatments, including surgery if all else fails, and occlusal discrepancy requiring orthognathic or jaw surgery.
Experience Board Certified Oral and Maxillofacial Surgeon practicine for over 20 years. Assistant Clincal Professor and State University School of Dentistry.
Organizations American Dental Association, American Association of Oral and Maxillofacial Surgeons, American Board of Oral and Maxillofacial Surgeons
Education/Credentials BA
DMD
Awards and Honors National Honor Society (OKU), Philadelphia County Dental Society, Mosby Book Award, Oral Surgery Honors, Summa Cum Laude
Question #4 is extraced. #3 started to bother me 2 years ago when I would 'grind it just the right way'. August of 06 it began to ache, etc. Deep roots, seated in sinus cavity, all calcified. Had RCT under microscope.
Was great until 12/20/06 - became sensitive to sweet and cold...odd. We removed the crown - found nothing. However, seating the temp crown didn't work as the pain was intense. No outward signs of fracture but all of the symptoms.
Saw a very good oral surgeon who wanted to wait and see. Got a temp on - put it out of occlusion - since then the cold issue is gone, sweet is gone, and I don't hit it with hard things since we've kept it lower.
#14 acts the same way as this one did 2 years ago. It is anchoring a bridge with #12. Calcified. In the sinus cavity. Sensitive to cold. And it has the crack symptom of hurting as I let off of a bite down on something.
I'd rather not do implants because both would require sinus lifts. But I also am not going to stay on the pot for months on end. Any ideas on your end? btw, antiobiotics did nada and my sinuses are clear....!
Thanks
Answer Bob - When someone has the development of roots that closely integrate with the sinus cavity, the sensations are altered. In most situations where I see a previously root canalled tooth with sensitivity and close to the sinus, I first try doing a procedure called an apicoectomy. In this procedure, the tips of the roots are sectioned off, the canal of the tooth is sealed from underneath. If the surgeon is good and experienced, this procedure usually has good results and the tooth is saved.
Of course, implants can always be done, but the apicoectomy can be done with no sinus lift procedure needed.
If you have any further questions, please feel free to contact me again.
