answers 0:I saw a new dentist yesterday (insurance reasons). This is at one of those dental conglomerates. Anyway, she said I have an abcess under one of my crowns which will require a root canal, and they'll have to replace the crown. The crown is around 10 years old, and now that she mentioned it, I can feel a little something going on with it, but I haven't had any discomfort. She did give me an rx for antibiotics.So my question is - should I bother going back to my old dentist for a second opinion before proceeding? It's not going to cost me anything, so that's not the issue. I'm just surprised that they found so much on my very first visit, and she is pretty young, so......Do I worry about having unnecessary work done? If they do it and it turns out it was unnecessary, is there any dental harm t! o me?I switched to this dental plan because I can get braces very inexpensively. I still consider my old dentist to be the main guy, and plan on returning when the braces come off....Show moreanswers 1:It is not uncommon to have an abcess at the base of the root of teeth and not have any clinical symptoms. It is possible to have and infection in a tooth that does not have a large cavity. I don't know the history of the tooth, so I can't comment on what the tooth looked like ten years ago before the crown was done. However, if a lot of tooth structure had to be removed or there had been a fracture or large decay in it before, then it is possible that over time the nerve of the tooth devitalized (nerve died). Sometimes this is a very slow process that doesn't produce any clinical symptoms, but over time, bacteria will colonate within that dead canal space and begin to replicate. Usually since the nerve is dead as has no sensation to it, you don't feel any problems, unti! l the bacteria reproduce so much, it causes a swelling within ! the bone (an abcess). Usually this can only be seen on an x-ray (not all x-rays though, only ones that show the base of the root), if your previous dentist was only taking bitewing (checkup) x-rays, it is possible that he did not see it!My advice to you is, if you have any doubt, go back to your previous dentist and have him/her check it out. They are more familar with the history of the tooth. Your previous dentist may be aware that it is there and may have been keeping an eye on it, because it was not causing you any symptoms.It sounds like the tooth will need a Root Canal. Sometimes that can be done through the existing crown; however, for the best result the crown should be redone as well!...answers 2:Ya understand, i've got heard an excellent form of "root canals are so painful" comments, and once I had human beings make sparkling, what's painful is oftentimes despite made you like it. formerly any form of procedure like which you will have a discomfort numbing age! nt. I won't lie although, root canals are uninteresting! I never had a television so it develop into sitting there for an hour and a nil.5 only doing no longer something. previous that, no discomfort throughout the time of, no discomfort or perhaps discomfort after, no longer something. The crown will actual fix the situation. I advise it won't make a sparkling perfect enamel magically develop in, despite if it will end any further issues or any discomfort you're able to be able to nicely be having. terrific needs....answers 3:ok well if you have an absess tooth it NEEDS to come out you can die if you don't get it taken care of and if it dont' bother you know believe me it will start to. as for you r old dentist. they don't always to a routine check up of all your teeth unless you have a complaint. i would deff. go with the root canal and a new crown. you can go to your original dentist and jsut let them know and he iwll do an xray and probbaly find the same thing and yo! u can just let your dentist do it or stick with the new dentist and ge! t everything that is wrong fixed that is entirely up to you. but i wouldnt' let the root canal go. good luck...answers 4:Part of the reason I'm questioning this is because she thinks there's a fracture in the bone graft of my front tooth. I find it odd that one of the best perios in the city, who did this work, didn't find this, and Missy who's fresh out of dental school did....I AM getting a second opinion on this, because if there is a problem, I can't get braces, which was my ENTIRE reason for switching to this plan. Ugh!answers 5:please have the proceedures done, an abcess tooth is nothing to fool with. go back to your original dentist for a 2nd opinion if it makes you feel better. new drs/dentists have pretty keen observation skills and seem to check everything out (as all drs/dentists should). it's great that you can get a nice deal on braces. i wish mine did. good luck. my grandmother lost site in one of her eyes form an abcessed tooth. it was one of her "! eye" teeth. i'm serious. most dentists today would discount that but the abcess is like poison....
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