My dentist has no success fixing my molar pain even after he did root canal. Is it the time to change my dentist?

39 posts in this topic

Brief background:

My dentist proposed to replace all of my old (silver) fillings in my molars. (All of my molars have cavities and were filled with silver filling 8-9 years ago). I visited him because one of the filling was causing bit discomfort. After looking at my old fillings he suggested I should replace all of them with new (white) fillings. He suspected there might be plague buildup under all of them as they were not very good condition. As I'm not a dentist I asked him to do what he think is the best.

First few replacement were okay. He first replaced filling in lower-left molars then lower-right. Then upper-right (this was the one causing discomfort) and finally upper-left. It all took months to complete as he did few every time. All the fillings were okay, even the upper-right one was okay after filling.

During every filling he showed me the black substance under my old fillings to ensure that it was the right decision to replace them. For few molar he told me that the filling is very deep and can cause problems. However, for the final filling in the upper-left molars the second last molar starting hurting bad after the filling.

I went back he did some more x-rays, asked me to wait more, then sent me to a specialist to check for sinus infection which was also not the case later on. At the end he said he need to do a root canal surgery on that sick tooth. I said okay do it if that's the only option. He did that.

Now after root canal it doesn't hurt as much, but I still feel little discomfort/pain when I eat hard foods like meat etc. moreover it's also extremely sensitive to hot and cold.

I have visited my dentist 3-4 time since then, and he ask me to wait to just put some cream on it every time.

Last time I asked him to refer me to some specialist which apparently he didn't like and told me that he did the best and if I now go to some specialist they will charge a lot as they will not be covered in my public insurance and they will further enlarge the cavity in attempt to fix.

 

Short summary:

I'm having discomfort and a slight pain in my molar that went through a root canal surgery. This molar has also become extremely sensitive to hot and cold. After multiple appointments the current dentist hasn't found a solution. He seems reluctant to forward my case to some specialist or other dentist and wanna experiment himself I believe.

 

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I had a similar situation with only one molar. It became infected when I was in Thailand and I took antibiotics which cleared it up. A couple of years later, a worse infection and my whole face was swollen. A dentist in Slovenia did a root canal which was instant relief. Both of those dentists did xrays. When I got back to Munich, my real dentist did more xrays and wasn't sure but she thought the tooth was cracked and recommended extraction and a bridge. It worked out great. 

 

Has your dentist not recommended such a thing? (I could have gotten an implant but my bone density wasn't up to snuff.)

 

I would go to another dentist if yours gets all butthurt when you ask to see a specialist. It's your pain, not his. He has already made enough money off of you. 

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Go to an ontodondist. They specialise in root canals. If a root canal is done properly you will have no pain. There is no nerve to hurt.

Mindo you if you're pain killer resistant like me, having a root canal can hurt like something very horrible.

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21 minutes ago, fredadi said:

it doesn't hurt as much, but I still feel little discomfort/pain when I eat hard foods like meat etc. moreover it's also extremely sensitive to hot and cold.

 

That's what I had some months after the successful root canal. Try an ontodondist as MAM recommended. She/he can probably tell if it was a bad root canal or a cracked tooth, etc.

 

I thought specialists were covered by insurance. Might want to check on that.

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2 minutes ago, fraufruit said:

 

That's what I had some months after the successful root canal. Try an ontodondist as MAM recommended. She/he can probably tell if it was a bad root canal or a cracked tooth, etc.

 

I thought specialists were covered by insurance. Might want to check on that.

He said the tooth is not cracked. However, he told that I will be needing a crown on that molar in a year or so for which I'll pay about 500€ in my current insurance plan. (public insurance)

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My very excellent dentist and two others couldn't see the crack in my molar as well. Once she started removing it, it came out in 5 pieces and had 5 roots which is unusual. Every crack doesn't show up on xrays. I am not giving you a diagnosis, just saying.

 

I don't think I would crown a molar with so much degeneration already. Even if I would, I wouldn't wait for a year of discomfort. That is just me. I was pleasantly surprised with my bridge after finding out I couldn't have an implant and it was much cheaper. No problems for some years now.

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12 minutes ago, MadAxeMurderer said:

Go to an ontodondist. They specialise in root canals. If a root canal is done properly you will have no pain. There is no nerve to hurt.

Mindo you if you're pain killer resistant like me, having a root canal can hurt like something very horrible.

Shall I visit an ontodondist on my own without consulting my current dentist? Will this new ontodontist take my case even though it is in the middle of a treatment? And if this specialist call my current dentist for detail he will feel bad that I didn't consult with him before going to someone else and he might not do the treatment properly if I ever have to go to him again. Just wondering.

 

P.S  I couldn't find this word "ontodondist" on google. Did you mean something else?

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I have never had to use a dental specialist so I don't know if you need an Überweisung from your dentist or not for an appointment. Someone will surely show up here and advise.

 

Why do you say that you are in the middle of treatment when the next thing your dentist wants to do is possibly a crown in one year? Has he offered you any other treatment for your current discomfort?

 

Your dentist's feelings are not your concern. You are the customer and you should get satisfaction.

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On 11/3/2017, 6:23:51, fraufruit said:

I have never had to use a dental specialist so I don't know if you need an Überweisung from your dentist or not for an appointment. Someone will surely show up here and advise.

 

Why do you say that you are in the middle of treatment when the next thing your dentist wants to do is possibly a crown in one year? Has he offered you any other treatment for your current discomfort?

 

Your dentist's feelings are not your concern. You are the customer and you should get satisfaction.

In the middle of treatment because he is still giving me appointments with a gap of more or less 3 weeks. So for example last time he trimmed my molar a little bit so it won't take lot of pressure. Before that he removed the temporary filling and adjusted the canal fillings. Next appointment is in few days I don't know what he'll do this time.

His idea is that there might be a wound underneath and he wants to wait to see if it heals itself.

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I remember now, after I had my root canal, I had to go back a few times for them to "re-pack" the canals with some kind of antiseptic filling to prevent infections.

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The  endodontist I went to in the US was excellent, but the equipment he used was state-of-the-art.  It was because of that, my regular dentist referred me to him.  If any of the root remains or if the canal was not properly disinfected, you could have pain.

If I were you, I'd see the specialist and get relief.  As said already, if your dentist gets his nose bent, find a new dentist for the remainder of the work.

 

http://www.woodfieldendodontics.com/endodontic-retreatment/

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I went for the same process this year, I can relate to your pain!

 

I've been 29 times to the dentist this year so far!!!

 

One of the problems was that the root canal therapy was done in different sessions due to an ongoing infection.

But then the dentist went on holidays for a month and his replacement forgot to take over it, so the roots were clean, but not filled in, so it got infected again and swollen!!

I had to complain harshly and point several times to the swollen part for him to recognized that something was wrong, because he was always saying that "after the treatment you should have no pain".

 

 

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I hope you have a new dentist, MM.

 

The dentist who did my root canal was in Koper, Slovenia and our marina called him to come in on a Sun. I was so swollen and in so much pain that it was instant relief without any pain shots. The smell was horrific. I needed no pain meds after. It was only later when refilling the canals that my Munich dentist suspected a cracked tooth because I had another event in Thailand a couple of years before. They only gave me antibiotic and it calmed down.

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@fredadi, can you give us some timeline to go with the treatment you had and pain you've experienced?

I've been through a couple of root canals and one gave me pain long after the operation whilst the other just gave instant relief and I never felt a twinge afterwards.

When you have had severe tooth pain in any tooth, phantom pain can be something to look out for. I had such a traumatic root canal (without proper anesthetics) that the pain came shooting through my tooth for months afterwards. Pain is processed in the brain, so even a dead nerve or missing limb can appear to produce severe pain. For me it just took time (and a lot of it) for the pain to completely to go away.

If phantom pain isn't your problem, then I would suggest something in the immediate vicinity of the tooth - as others have mentioned - a wound in the area might be taking time to heal or have got infected.

 

Another thing about root canal pain is that some nerves in the vicinity are still alive, even when the root itself is gone. Particularly cold / hot pain can be caused by changes in pressure locally, so perhaps the pain comes from a nearby nerve which you cannot distinguish from the old root in terms of where the pain originates. Again, in time these things tend to settle down. So how long was it since your root canal?

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On 11/3/2017, 5:30:51, MadAxeMurderer said:

Mindo you if you're pain killer resistant like me, having a root canal can hurt like something very horrible.

This possibility causes me to come out very, very cold sweats.

Especially as I have to have two wisdom teeth out next year... Actually, it doesn't need that, it is bad enough on its own..

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@fraufruit I have had 3 dentists: 1 in Germany, and 2 in Belgium cause me enormous pain. Pain I believed I could not tolerate, and that left me that night lying in bed unable to sleep, shaking and sweating and thinking PTSD. All dentists had given me the legal max of painkiller and the last one had deadened the entire jaw. It was numb for hours afterwards. However I'd lived for years with a split infected molar and it was intriguing to able to chew cold food on both sides of my mouth.

 

The explanation I've received is that if the nerve is infected it's resistant to pain killer. If I ever need a root canal again I will go to a country that has less stringent regulations. NO2 would be a good start. Full anesthesia would be better.

 

I'm probably in the 1% of patients with low pain thresholds and high resistance to pain killers, and these laws designed to protect consumers makes me afraid of dentists. Luckily I reached the age of 50 with only 2 fillings in my mouth. It is quite an experience feeling a nerve being filed away.

 

@cb6dba I had all my widom teeth out when I was 18. Believe it or not my mouth was too small. It was done under full anaesthetic and I'm sure yours will be too.

 

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9 minutes ago, MadAxeMurderer said:

Luckily I reached the age of 50 with only 2 fillings in my mouth.

 

You are very diligent with the care of your teeth. I have witnessed it. :D

 

Hopefully you won't have any problems. My dentist offered gas when I had my molar extracted but I didn't take it. There are specialists her who will put you under - my son went to one for a wisdom tooth extractions simply because he was terrified.

 

My GP once gave me some injections to remove a small mole. They didn't work. He injected more but I could still feel the cut. He referred me to a surgeon. BTW, same doc had already removed a few moles for me over the years. Due to that experience and a couple of more, I believe some of us have unusual nerve bundles in certain areas.

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20 minutes ago, fraufruit said:

My GP once gave me some injections to remove a small mole. They didn't work. He injected more but I could still feel the cut. He referred me to a surgeon. BTW, same doc had already removed a few moles for me over the years. Due to that experience and a couple of more, I believe some of us have unusual nerve bundles in certain areas.

 

I watched while a doctor removed a mole.  He said "This injection will hurt a lot, but just for a minute or two, just like at the dentist".  While I puzzled about this (a minute or two??), he promptly cut it out without time for me to shout :"Hey, that's not a syringe, it's a scalpel".  Nasty but fortunately quick.   

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1 hour ago, MadAxeMurderer said:

 

@cb6dba I had all my widom teeth out when I was 18. Believe it or not my mouth was too small. It was done under full anaesthetic and I'm sure yours will be too.

 

Full was not mentioned at the appointment I was at a few weeks ago...

Just local...

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