Into the Black

Well, Dr. Toothy does not think I have a toothache, or as he put it: "I'd hate to have to explain to a review board why I did a root canal based on these X-Rays." The pain has indeed slowly, but steadily decreased since it first hit, so hopefully it will continue on that course. I was due for a cleaning, anyway, and got unusually high marks for my home care, which was nice.

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1.
 
Xrays
Jan 12, 2006, 00:04
1.
Xrays Jan 12, 2006, 00:04
Jan 12, 2006, 00:04
 
There's more to a root canal therapy (RTC) recommendation than just the radiographs. It's entirely possible to responsibly diagnose a necrotic pulp or irreversible pulpitis (both requiring RCT) without radiographic evidence. Percussion sensitivity and no response to cold (combined with a normal response on adjacent teeth), or an exaggerated\lingering response to cold are both fairly definitive diagnostic tools. Radiographic evidence of a periapical lesion (a periapical radiolicency) will only manifest after the disease has progressed long enough to begin resorbing the bone at the base of the tooth socket.
Just because the pain is subsiding doesn't mean the problem's going away, either. As a tooth progresses from irreversible pulpitis to a necrotic pulp, sensation in the tooth will go from exaggerated to absent, though often this is accompanied by an increase in discomfort from the periodontal tissues surrounding the tooth as the infection spreads outward from the root.

That said, I do agree that it sounds like you've probably got referred sinus pain, and RCT is would be unnecessary if that's the case.


Avatar 13818
2.
 
Re: Xrays
Jan 12, 2006, 00:44
2.
Re: Xrays Jan 12, 2006, 00:44
Jan 12, 2006, 00:44
 
Yeah definitely check out the sinus thing.

3.
 
Re: Xrays
Jan 12, 2006, 01:21
3.
Re: Xrays Jan 12, 2006, 01:21
Jan 12, 2006, 01:21
 
Sounds like someone slept at a Holiday Inn Express last night.

4.
 
Is your Dentist Dr. Nick Riviera?
Jan 12, 2006, 02:36
4.
Is your Dentist Dr. Nick Riviera? Jan 12, 2006, 02:36
Jan 12, 2006, 02:36
 
I'd hate to have to explain to a review board why I did a root canal based on these X-Rays."
does he mean, have to explain -again- ?

"Radiographic evidence of a periapical lesion (a periapical radiolicency (TM)) will only manifest after the disease has progressed long enough to begin resorbing the bone at the base of the tooth socket..."
"...well, that and when my checking account dips below $100,000."

"Yes, it's definitely Irreversible Pulpitis!"
"You need a complete Nosectomy!"
- Dr. Nick Riviera
the "Hi Everybody!" quack on the Simpsons,
graduate of Hollywood Upstairs Medical School and
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5.
 
Mars article is 2+ years old
Jan 12, 2006, 07:33
Jim
5.
Mars article is 2+ years old Jan 12, 2006, 07:33
Jan 12, 2006, 07:33
Jim
 
Mars is still visible high in the sky after sundown but it is receeding (or rather we're moving away from it) so its appearance in the sky is far less "delighting" to the onlookers as it was 3 months ago, or during August 2003 opposition.

Saturn is currently the planet that is doing all of the delighting.

Jim
6.
 
No subject
Jan 12, 2006, 07:58
6.
No subject Jan 12, 2006, 07:58
Jan 12, 2006, 07:58
 
Damn, I know it takes a gun going off to wake up some people, but damn...a spider in your ear? I take it this woman is not in the slight bit ticklish?

7.
 
Re: No subject
Jan 12, 2006, 08:05
nin
7.
Re: No subject Jan 12, 2006, 08:05
Jan 12, 2006, 08:05
nin
 
and got unusually high marks for my home care, which was nice.

Maybe because you were just there like a month or two ago?

Seriously, not counting this time, since you had a tooth ache, you're a dentist's wet dream...



--------------------------------------------------------------
GW: Nilaar Madalla, lvl 20 R/Mo / Tolyl Nor, lvl 20 E/Mo / Xylos Gath, lvl 13 W/Mo

http://www.goldfrapp.co.uk/
8.
 
Re: No subject
Jan 12, 2006, 12:11
8.
Re: No subject Jan 12, 2006, 12:11
Jan 12, 2006, 12:11
 

Seriously, not counting this time, since you had a tooth ache, you're a dentist's wet dream...


Sometimes, having a great imagination.....is a really bad thing. I hate you right now nin.

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9.
 
Re: No subject
Jan 12, 2006, 12:54
nin
9.
Re: No subject Jan 12, 2006, 12:54
Jan 12, 2006, 12:54
nin
 
I hate you right now nin.

Sorry - Come again?



( )



--------------------------------------------------------------
GW: Nilaar Madalla, lvl 20 R/Mo / Tolyl Nor, lvl 20 E/Mo / Xylos Gath, lvl 13 W/Mo

http://www.goldfrapp.co.uk/
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