Toothache/Dentists
20 July 2010, 08:47 PM
#1
Toothache/Dentists
Keep getting toothache, had a cracked tooth and I got it filled at one dentists a few years ago, needed doing again and I went to a different dentist, the initial appointment (twenty minutes later than the alloted time) identified what needed filling, one smaller filling and this bigger one, he said it needed two appointments half an hour at a time but I asked if he could do an hour and and get it out of the way and he said that was ok.
Anyway, turned up and he arrived 45 minutes late (first appointment of the day), got ready and 50 minutes later than my time I went in for an hours treatment, I was out 25 minutes later such was the speed of the dentist, he really went for it I suspect to catch up on his schedule as other patients were arriving, now I dont want to be in the chair any longer than I have to but surely an hours work takes pretty much an hour, not less than half that time.
I have had tooth ache on and off for ages but it seems to go away, but the last month or so its been getting worse, anything cold or hot and sometimes it just starts, takign Nuurofen works and it lasts a day or so but it soon comes back, have been away with work to Canada for a week and then a few days in Wales hence why I havent been in but wondering where I stand, surely that tooth, having had £300 spent on it shouldnt be giving me agro, is there any guarantee on dental work or will it be something else ?
I am considering just getting it pulled out, can be arsed with pain and expense, if it gets rid of both I can live with a tooth missing as its half way up the side, the rest are fine apart from a couple of small fillings, apparently this one cracked as its where I bite down hardest.
Anyway, turned up and he arrived 45 minutes late (first appointment of the day), got ready and 50 minutes later than my time I went in for an hours treatment, I was out 25 minutes later such was the speed of the dentist, he really went for it I suspect to catch up on his schedule as other patients were arriving, now I dont want to be in the chair any longer than I have to but surely an hours work takes pretty much an hour, not less than half that time.
I have had tooth ache on and off for ages but it seems to go away, but the last month or so its been getting worse, anything cold or hot and sometimes it just starts, takign Nuurofen works and it lasts a day or so but it soon comes back, have been away with work to Canada for a week and then a few days in Wales hence why I havent been in but wondering where I stand, surely that tooth, having had £300 spent on it shouldnt be giving me agro, is there any guarantee on dental work or will it be something else ?
I am considering just getting it pulled out, can be arsed with pain and expense, if it gets rid of both I can live with a tooth missing as its half way up the side, the rest are fine apart from a couple of small fillings, apparently this one cracked as its where I bite down hardest.
20 July 2010, 08:58 PM
#2
Scooby Regular
A pulled tooth is a missed opportunity for a dentist ...... future earning potential gone forever!!
Get it pulled
And get it done on the NHS and you'll not get stung once more.
Get it pulled
And get it done on the NHS and you'll not get stung once more.
20 July 2010, 09:05 PM
#3
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i had a tooth giving me grief, had a root canal done on it twice (2nd time free) then had it out but then all the crushing pressure went onto the next tooth and then that needed a root canal and a crown.
my advice go to your dentist regularly, i never did but i do now cos i`m running out of teeth
20 July 2010, 11:19 PM
#6
It's late as the kids are off school...try really hard to give me some sort of pic of the tooth on a digital camera 
....open wide !
Who did you see in Wales......... turning up late is pretty unusual ??
Cheers
Shaun
....open wide !Who did you see in Wales......... turning up late is pretty unusual ??
Cheers
Shaun
20 July 2010, 11:47 PM
#7
Shaun, I was in Wales recently visiting the wife aunt, met up with the wife and kids after I got back from Canada, the dentists is in Wilmslow where i live, ironically the Dentist did turn up in an STI !
Just felt kind of rushed in an out and the treatment may have been fine, turning up late like that is not on when you are charging that kind of money, in fact, really he should have knocked a bit off the bill I think, I can understand a delay when the day is underway but rolling up late is not good, its not like I dont do anything all day.
Will try and get a photo in the morning, but its on the top, third molar back on the right, its just full of filling, very little tooth left.
Will getting it removed more than likely get rid of the pain or as Steedee says just end up with additonal pressure being on the one next to it ?
Just felt kind of rushed in an out and the treatment may have been fine, turning up late like that is not on when you are charging that kind of money, in fact, really he should have knocked a bit off the bill I think, I can understand a delay when the day is underway but rolling up late is not good, its not like I dont do anything all day.
Will try and get a photo in the morning, but its on the top, third molar back on the right, its just full of filling, very little tooth left.
Will getting it removed more than likely get rid of the pain or as Steedee says just end up with additonal pressure being on the one next to it ?
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21 July 2010, 01:09 PM
#8
If it's the third molar right at the back then having it out might be the best option. 3rd molars(wisdom teeth) often have abnormal shapes which makes filling them difficult, being right at the back they are difficult to get to. Finally as they come out last the often have big pulp chambers (nerve canals) so nerve pain after treatment (pain with hot and cold) can be a problem.
If you do get rid of it then there wil be no effect on the one in front, you can function comfortably with 10 teeth meeting 10 teeth on the bottom which basically means molar teeth are redundant.
I worked in manchester for 13 years or so and I either know or trained your dentist LOL
I'll have a look at the pic later.
Shaun
If you do get rid of it then there wil be no effect on the one in front, you can function comfortably with 10 teeth meeting 10 teeth on the bottom which basically means molar teeth are redundant.
I worked in manchester for 13 years or so and I either know or trained your dentist LOL
I'll have a look at the pic later.
Shaun
21 July 2010, 04:14 PM
#11
OK
Thanks for the pic Just to set the record straight.......the painful tooth is in the middle of the pic with the silver filling. I need to know which tooth it actually is as it makes a big difference.
Counting from the front top tooth at the front (upper right middle incisor) starting as number one .........is the molar tooth the 6th one along ??
this pic might help as it numbers the teeth at the upper right
http://www.dentalfearcentral.org/images/palmer.gif
The reason I ask is the tooth at the right of the picture looks like a premolar which would make the offending tooth the first standing molar..(number 6)
Shaun
Thanks for the pic
Just to set the record straight.......the painful tooth is in the middle of the pic with the silver filling. I need to know which tooth it actually is as it makes a big difference.Counting from the front top tooth at the front (upper right middle incisor) starting as number one .........is the molar tooth the 6th one along ??
this pic might help as it numbers the teeth at the upper right
http://www.dentalfearcentral.org/images/palmer.gif
The reason I ask is the tooth at the right of the picture looks like a premolar which would make the offending tooth the first standing molar..(number 6)
Shaun
Last edited by Midlife......; 21 July 2010 at 04:16 PM.
21 July 2010, 04:45 PM
#13
Ok........forget what I said about wisdom teeth. 
Just have to be careful what I say here as the General Dental Council don't like diagnosis by internet chat room...........
Post operative pain after deep fillings is very common, usually about 3 weeks of being sensitive to hot and cold, often more sensitive to hot.
Pain should never be spontaneous nor wake you from sleep, Sometimes if the filling is "high" then you can get pain on biting. Do you feel like the tooth touches first when you bite gently together ?? If so it needs adjustment.
It sounds like you have "irreversible pulpitis" where the nerve has not recovered and is inflammed and likely in the process of dying
Looking at the picture the tooth itself looks pretty sound and certainly does not look like extraction material yet. If you have it out and don't fancy the gap then it gets very expensive if you start looking at implant work.
If the tooth fails to settle then root canal treatment will be required to remove the damaged nerve. Personally if it was me I'd go for the root canal if it doesn't settle down, you might wish to have the root canal treatment by a specialist if x-rays show narrowed root canals.
I know PSL will bleat on about spending more money but it's your tooth in the end
Did you want any more info??
Cheers
Shaun
Just have to be careful what I say here as the General Dental Council don't like diagnosis by internet chat room...........
Post operative pain after deep fillings is very common, usually about 3 weeks of being sensitive to hot and cold, often more sensitive to hot.
Pain should never be spontaneous nor wake you from sleep, Sometimes if the filling is "high" then you can get pain on biting. Do you feel like the tooth touches first when you bite gently together ?? If so it needs adjustment.
It sounds like you have "irreversible pulpitis" where the nerve has not recovered and is inflammed and likely in the process of dying
Looking at the picture the tooth itself looks pretty sound and certainly does not look like extraction material yet. If you have it out and don't fancy the gap then it gets very expensive if you start looking at implant work.
If the tooth fails to settle then root canal treatment will be required to remove the damaged nerve. Personally if it was me I'd go for the root canal if it doesn't settle down, you might wish to have the root canal treatment by a specialist if x-rays show narrowed root canals.
I know PSL will bleat on about spending more money but it's your tooth in the end
Did you want any more info??
Cheers
Shaun
21 July 2010, 05:02 PM
#14
Shaun,
Thats brilliant info to have, thanks, and I can understand why disgnosis via the Net can be fraught, but you have just outlined some possibilities and options.
It doesnt feel high and doesent seem to touch excessively.
Saying it doesnt look like extraction material is what my dentist said, it was sore for a good couple of weeks after the work, I was ready to go back but held on a while and it calmed down, its recently its started annoying me, not all the time and a Nurofen calms it down for ages but then something hot or cold triggers it, its by no means as bad as when I first went to the dentists about it, just a nagging pain that seems to spread around and turns me into a right grumpy ******* !
If I have it out, can I opt for an implant at a later date ?
Will removing it stop any pain, does that include the nerve ?
Root Canal looks the most likely option at the moment
Thats brilliant info to have, thanks, and I can understand why disgnosis via the Net can be fraught, but you have just outlined some possibilities and options.
It doesnt feel high and doesent seem to touch excessively.
Saying it doesnt look like extraction material is what my dentist said, it was sore for a good couple of weeks after the work, I was ready to go back but held on a while and it calmed down, its recently its started annoying me, not all the time and a Nurofen calms it down for ages but then something hot or cold triggers it, its by no means as bad as when I first went to the dentists about it, just a nagging pain that seems to spread around and turns me into a right grumpy ******* !
If I have it out, can I opt for an implant at a later date ?
Will removing it stop any pain, does that include the nerve ?
Root Canal looks the most likely option at the moment
21 July 2010, 05:49 PM
#15
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i've had tooth ache for nearly 7 months now as hospital referal was lost blah blah got too have 6 teeth out now, all wisdom teeth and two others that are tightly impacted as the roots go everywhere but i can't wait for the pain to be over and can enjoy a nice cold pint
21 July 2010, 06:07 PM
#17
Scooby Regular
I've been messed about so often with teeth that have been filled, then root canal, then capped, then pulled ..... that it is generally better (in my experience) to get rid of the damned thing straight away and remove all cause of any pain in that tooth again.
21 July 2010, 11:27 PM
#19
It sounds like the nerve is on the way out 
you are not alone as statistically 25% of all nerves die under deep fillings and crowns over a 5 year period. Nice research work done by a guy called Richard J Simonsen who is by chance a car fanatic (indionapolis circuit stuff).........In answer to your questins
If you have it out can you have an implant at a later date.... the optimum time for an implant for an extracted tooth is between zero and 3 months, after that the bone that held the tooth in shrinks away and there is less bone available for an implant. Upper teeth are tricky in that you have a big empty space in your cheek (your maxilliary sinus) under the tooth and there if often not enough bone to have an implant so keeping the tooth is a realistic option..
If the tooth is the source of the pain then removing it will remove the pain !
Root canal treatment is the most pragmatic option for upper first molars where the nerve is giving problems...
If you want a nice guy to do your root canal I'd recomend Mark Hunter.....
http://www.dentistry.manchester.ac.uk/staff/MarkHunter
http://www.ukdentistsdirectory.com/Ellesmere/index.htm
Not quite sorted the website have they LOL
Shaun
you are not alone as statistically 25% of all nerves die under deep fillings and crowns over a 5 year period. Nice research work done by a guy called Richard J Simonsen who is by chance a car fanatic (indionapolis circuit stuff).........In answer to your questins
If you have it out can you have an implant at a later date.... the optimum time for an implant for an extracted tooth is between zero and 3 months, after that the bone that held the tooth in shrinks away and there is less bone available for an implant. Upper teeth are tricky in that you have a big empty space in your cheek (your maxilliary sinus) under the tooth and there if often not enough bone to have an implant so keeping the tooth is a realistic option..
If the tooth is the source of the pain then removing it will remove the pain !
Root canal treatment is the most pragmatic option for upper first molars where the nerve is giving problems...
If you want a nice guy to do your root canal I'd recomend Mark Hunter.....
http://www.dentistry.manchester.ac.uk/staff/MarkHunter
http://www.ukdentistsdirectory.com/Ellesmere/index.htm
Not quite sorted the website have they LOL
Shaun
22 July 2010, 09:03 AM
#21
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Quite true but .............
I've been messed about so often with teeth that have been filled, then root canal, then capped, then pulled ..... that it is generally better (in my experience) to get rid of the damned thing straight away and remove all cause of any pain in that tooth again.
I've been messed about so often with teeth that have been filled, then root canal, then capped, then pulled ..... that it is generally better (in my experience) to get rid of the damned thing straight away and remove all cause of any pain in that tooth again.
22 July 2010, 12:50 PM
#22
It sounds like the nerve is on the way out
you are not alone as statistically 25% of all nerves die under deep fillings and crowns over a 5 year period. Nice research work done by a guy called Richard J Simonsen who is by chance a car fanatic (indionapolis circuit stuff).........In answer to your questins
If you have it out can you have an implant at a later date.... the optimum time for an implant for an extracted tooth is between zero and 3 months, after that the bone that held the tooth in shrinks away and there is less bone available for an implant. Upper teeth are tricky in that you have a big empty space in your cheek (your maxilliary sinus) under the tooth and there if often not enough bone to have an implant so keeping the tooth is a realistic option..
If the tooth is the source of the pain then removing it will remove the pain !
Root canal treatment is the most pragmatic option for upper first molars where the nerve is giving problems...
If you want a nice guy to do your root canal I'd recomend Mark Hunter.....
http://www.dentistry.manchester.ac.uk/staff/MarkHunter
http://www.ukdentistsdirectory.com/Ellesmere/index.htm
Not quite sorted the website have they LOL
Shaun
you are not alone as statistically 25% of all nerves die under deep fillings and crowns over a 5 year period. Nice research work done by a guy called Richard J Simonsen who is by chance a car fanatic (indionapolis circuit stuff).........In answer to your questins
If you have it out can you have an implant at a later date.... the optimum time for an implant for an extracted tooth is between zero and 3 months, after that the bone that held the tooth in shrinks away and there is less bone available for an implant. Upper teeth are tricky in that you have a big empty space in your cheek (your maxilliary sinus) under the tooth and there if often not enough bone to have an implant so keeping the tooth is a realistic option..
If the tooth is the source of the pain then removing it will remove the pain !
Root canal treatment is the most pragmatic option for upper first molars where the nerve is giving problems...
If you want a nice guy to do your root canal I'd recomend Mark Hunter.....
http://www.dentistry.manchester.ac.uk/staff/MarkHunter
http://www.ukdentistsdirectory.com/Ellesmere/index.htm
Not quite sorted the website have they LOL
Shaun
So what happens if the nerve just dies ?
have found a NHS dentist that is still taking patients, is that a false economy as I get the impression its cheap and cheerful rather than optimal.
22 July 2010, 03:29 PM
#23
When the nerve dies the sensitivity to hot and cold goes, but then the dead nerve has a habit of becoming infected which leads to more pain and swelling.
It depends on what sort of local NHS dentist you get.
There is no doubt that the NHS fee for fillings / root canal treatment (which is just under £50) does not make the dentist any money and indeed loses money.
Most of the Better NHS dentists around here would just accept that loss as part of the package and look forward to the next family due in the door who don't need anything but a check up and granny needs new dentures........quids in for that lot.
The local NHS GDP's on average earn about £40k a year more than me so they still make money if they play the game.
As for treatment.......statistically a specialist will have a success rate about 4% better than a primary care practitioner for uncomplicated root canal work so for simple root fillings to front teeth it's not really worth seeing a specialist IMHO. The success rate of molar root treatments is much better with a specialist or at least someone with a special interest. As we are not allowed to treat friends and family the Dental Staff usually go and see a specialist in Newcastle.
Shaun
It depends on what sort of local NHS dentist you get.
There is no doubt that the NHS fee for fillings / root canal treatment (which is just under £50) does not make the dentist any money and indeed loses money.
Most of the Better NHS dentists around here would just accept that loss as part of the package and look forward to the next family due in the door who don't need anything but a check up and granny needs new dentures........quids in for that lot
.The local NHS GDP's on average earn about £40k a year more than me so they still make money if they play the game.
As for treatment.......statistically a specialist will have a success rate about 4% better than a primary care practitioner for uncomplicated root canal work so for simple root fillings to front teeth it's not really worth seeing a specialist IMHO. The success rate of molar root treatments is much better with a specialist or at least someone with a special interest. As we are not allowed to treat friends and family the Dental Staff usually go and see a specialist in Newcastle.
Shaun
23 July 2010, 09:47 AM
#24
Go for a root canal treatment!
I had something similar happen to me.
Dental work done - then shortly afterwards I got sensitive teeth.
Of course I just put this down to them being all nice and clean etc
Sensitivity got worse - no problem I though, brush with sensodyne
Then one Sunday afternoon I was upstairs painting and from nowhere I was in complete agony and the only way I could relieve the pain was to lower my head to waist level
Wife rang dentist who of course is closed, but I'm told to go to a specific hospital who will treat me.
Nice dentist looks - I tell him don't ******* prod at that tooth
I get xrayed and he tells me that I need to have a root canal and because of the abscess the anesthetic probably wouldn't work 100%
He said, we'll if you want immediate relief of pain then this is the only option.
Anway he started drilling into the back of my tooth and jesus christ the pain was unbelievable but within a space of seconds the pain began to subside thankfully
So get your treatment done before you get to experience what I had the misfortunate of
I had something similar happen to me.
Dental work done - then shortly afterwards I got sensitive teeth.
Of course I just put this down to them being all nice and clean etc
Sensitivity got worse - no problem I though, brush with sensodyne
Then one Sunday afternoon I was upstairs painting and from nowhere I was in complete agony and the only way I could relieve the pain was to lower my head to waist level
Wife rang dentist who of course is closed, but I'm told to go to a specific hospital who will treat me.
Nice dentist looks - I tell him don't ******* prod at that tooth
I get xrayed and he tells me that I need to have a root canal and because of the abscess the anesthetic probably wouldn't work 100%
He said, we'll if you want immediate relief of pain then this is the only option.
Anway he started drilling into the back of my tooth and jesus christ the pain was unbelievable but within a space of seconds the pain began to subside thankfully
So get your treatment done before you get to experience what I had the misfortunate of
Last edited by urban; 23 July 2010 at 02:43 PM.
23 July 2010, 02:09 PM
#25
Urban, I know what it can be like, when it first went I was in agony, made me sweat and feel like bloody crying.
I am filling the form out for the NHS dentists, will start using them even if I go private for this one, its worth the treck for the saving on the fees.
Funnily enough it seems to have settled down but I intend to get it sorted one way or another, its easy to forget what its like when its giving trouble and carry on, how people with really rotten manky teeth go on I dont know, they must be in constant agony, I saw this thing about people with really grotty teeth and this one girl just had a huge crusty build up (Tartar ?) that the dentist flicked off, apparently it stank but she couldnt cope with any more, terrified, the stupid, skanky wimpy cow !
I am filling the form out for the NHS dentists, will start using them even if I go private for this one, its worth the treck for the saving on the fees.
Funnily enough it seems to have settled down but I intend to get it sorted one way or another, its easy to forget what its like when its giving trouble and carry on, how people with really rotten manky teeth go on I dont know, they must be in constant agony, I saw this thing about people with really grotty teeth and this one girl just had a huge crusty build up (Tartar ?) that the dentist flicked off, apparently it stank but she couldnt cope with any more, terrified, the stupid, skanky wimpy cow !
24 July 2010, 12:41 PM
#27
Jacko - I haven't been to a dentist in ages, but Mrs T visits twice a year without fail. She had one tooth filled with a white filling, which was problematic, I think it cracked or something, but there were three subsequent visits to her dentist which were all treated as 'warranty' work. Not sure if this varies by dentist, they did seem to wish to take a progressive approach working up to the final solution. It was a little inconvenient, but no further charges to that incurred for the initial work.
24 July 2010, 01:10 PM
#28
TT, my mum keeps saying that there is a warranty for a year on work done on a specific tooth, not sure how far reaching it is, or even how common, I suspect that most places will just charge you unless you moan.
Its been fine for a while now, not had any Ibuprofen in 48 hours, as said, still going to get it checked out.
Its been fine for a while now, not had any Ibuprofen in 48 hours, as said, still going to get it checked out.
16 June 2012, 03:18 PM
#29
Well, same tooth giving me agro again, went to the dentists and she agreed it either needs pulling or a root canal, am opting to have it removed as am sick to the **** of it, it hurts like ****, really driving me mad now and she has given me an appointment for 23rd of July !
So, five weeks with this is probably going to tip me over the edge or leave me addicted to painkillers, I tried my old dentist who is now taking NHS patients, the old dentist was sent on his way as he was useless and expensive, late for every appointment and hence why I found an NHS one that was takign on patients, spent £700 on this tooth over the last few years, had enough it has to go, trouble is one dentist wont take your treatment plan from another and just pull the tooth out, they want an appointment to check it and then another to do the work which puts me at the same time, too long to wait and puts me too close to going on holiday. I have a constant headache seemingly emanating from the tooth.
Not sure what to do, am hoping for a cancellation, any suggestions ?
So, five weeks with this is probably going to tip me over the edge or leave me addicted to painkillers, I tried my old dentist who is now taking NHS patients, the old dentist was sent on his way as he was useless and expensive, late for every appointment and hence why I found an NHS one that was takign on patients, spent £700 on this tooth over the last few years, had enough it has to go, trouble is one dentist wont take your treatment plan from another and just pull the tooth out, they want an appointment to check it and then another to do the work which puts me at the same time, too long to wait and puts me too close to going on holiday. I have a constant headache seemingly emanating from the tooth.
Not sure what to do, am hoping for a cancellation, any suggestions ?