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This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:
Hello,
I am contacting you about the following problem. Six months ago, direct pulp capping was performed on my upper tooth (4) and it was closed with a temporary filling. During this period I did not have any particular problems with the tooth, except that it was slightly more sensitive to extremely cold drinks (but not to warm ones), and when biting (directly under the tooth) I felt mild pain. I was told this was a normal response and was scheduled for a check-up (the check-up was performed 2 months after the pulp capping). They found that the tooth was fine (and still alive) and replaced the temporary filling with a permanent one.
The problems started three days ago (approximately 6 months after the pulp capping). For two days I had pain on this side of the tooth (I had never had this kind of pain before) and biting on this tooth was more painful than usual. Today (the third day), the pain has subsided considerably. I have no problems, and there are no changes around or on the tooth. I do not even feel pain with an extremely cold drink. I should mention that I am in the 6th month (entering the 7th) of pregnancy.
Please give me your professional opinion, and thank you for your time.
Kind regards, Tjasa
Dentist Tomaž Rotar answers:
Dear Sir/Madam!
The symptoms you describe may mean that the tooth has progressed to necrosis (died). Pain that first increases and is then followed by the absence of symptoms characteristic of a vital tooth could indicate exactly that. This is a very common event after direct pulp capping, even after a longer period of time (half a year). Since you cannot undergo X-ray diagnostics, the most sensible approach is to wait for any new symptoms that may indicate the precise direction of treatment.
Have a nice day!
The symptoms you describe may mean that the tooth has progressed to necrosis (died). Pain that first increases and is then followed by the absence of symptoms characteristic of a vital tooth could indicate exactly that. This is a very common event after direct pulp capping, even after a longer period of time (half a year). Since you cannot undergo X-ray diagnostics, the most sensible approach is to wait for any new symptoms that may indicate the precise direction of treatment.
Have a nice day!
✦ This content was translated from the original with the assistance of an AI translation system.
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