G
Grant3791
Junior member
- Joined
- Feb 9, 2022
- Messages
- 3
- Location
- Hertfordshire
Hi all,
First post for me but have been lurking for a while.
10 days ago my lower left 1st molar suddenly started to have some pain / pressure. But only mild. I should add the tooth already has a very large old silver amalgam filling, probably 10 years old.
I have a massive fear of the dentist and suffer from anxiety and panic attacks, to the point I have passed out in dentists twice before. So with the toothache starting I knew I needed to get an appointment as I haven’t been for over 7 years. I have spent the last week losing sleep, not eating very well and just being complete stressed out mess.
I found a dentist I liked the sound of and my first appointment was today and I managed to force myself to do, the dentist was lovely and the appointment went well, much to my relief and am proud of myself for doing so.
Back to my lower left first molar, I didn’t feel an increase in pain from the air, or on a percussion test. I could feel the cold test but it was delayed a few seconds compared to my other teeth. The x-ray showed no infection in the root yet but did show decay under the filling.
I have been given two options of root canal and crown or remove old large filling, remove decay and place new composite filling and see how it goes. My dentist felt it was right on the borderline of reversible / irreversible pulpititis and couldn’t be 100% sure how the nerve would settle with the new filling as it was so close.
I initially wanted iv-sedation for any work done but would have to accept it could be a few week wait and would be £300 an hour as they would have to get someone in to the clinic to administer the sedation. So will greatly add to the cost.
The root canal treatment and crown would have to be over 3 appointments and the endodontist isn’t a huge fan of doing rct on molars under sedation.
The fillings (also need one on the premolar next to it) would be one appointment and I’m wondering if I may be able to push myself to do the two fillings without sedation.
So my main two questions;
Based on what I’ve tried to describe do you think it’s worth going for a filling replacement instead of RCT and crown or is re-filling the tooth likely a lost cause?
Could it really just be the decay under the current filling causing my toothache currently?
Thanks for your help.
Grant
First post for me but have been lurking for a while.
10 days ago my lower left 1st molar suddenly started to have some pain / pressure. But only mild. I should add the tooth already has a very large old silver amalgam filling, probably 10 years old.
I have a massive fear of the dentist and suffer from anxiety and panic attacks, to the point I have passed out in dentists twice before. So with the toothache starting I knew I needed to get an appointment as I haven’t been for over 7 years. I have spent the last week losing sleep, not eating very well and just being complete stressed out mess.
I found a dentist I liked the sound of and my first appointment was today and I managed to force myself to do, the dentist was lovely and the appointment went well, much to my relief and am proud of myself for doing so.
Back to my lower left first molar, I didn’t feel an increase in pain from the air, or on a percussion test. I could feel the cold test but it was delayed a few seconds compared to my other teeth. The x-ray showed no infection in the root yet but did show decay under the filling.
I have been given two options of root canal and crown or remove old large filling, remove decay and place new composite filling and see how it goes. My dentist felt it was right on the borderline of reversible / irreversible pulpititis and couldn’t be 100% sure how the nerve would settle with the new filling as it was so close.
I initially wanted iv-sedation for any work done but would have to accept it could be a few week wait and would be £300 an hour as they would have to get someone in to the clinic to administer the sedation. So will greatly add to the cost.
The root canal treatment and crown would have to be over 3 appointments and the endodontist isn’t a huge fan of doing rct on molars under sedation.
The fillings (also need one on the premolar next to it) would be one appointment and I’m wondering if I may be able to push myself to do the two fillings without sedation.
So my main two questions;
Based on what I’ve tried to describe do you think it’s worth going for a filling replacement instead of RCT and crown or is re-filling the tooth likely a lost cause?
Could it really just be the decay under the current filling causing my toothache currently?
Thanks for your help.
Grant