Hi Sir, I had tooth filling from 8 years. Suddenly there is a severe pain on this tooth. 1. No pain while chewing or tapping tooth. 2. But severe pain during drinking / eating hot / cold food. 3. Pain is there upto 20-30 mins after hot/cold drink/food. I had visited dentist. He checked 1st teeth 1. He checked teeth is ok and white. 2. He checked tooth feeling is also ok. 3. I informed about above severe pain and sensitivity. 4. He taped teeth but no pain there and after 3-4 days pain is gradually decreased compare to previously. 5. Then he checked with x-ray. He saw something in x-ray and told me that there is "sado"(" caries) below tooth feeling. He said he doesn't know how it reached there. He advised me for root canal. And prescribed antibiotics and painkillers. I asked home about 2nd time tooth re filling after cleaning caries. But he said it's not possible and root canal required. Nowy questions are 1. Is it possible to remove tooth filling and clean care and again do 2nd time tooth filling? 2. My pain is reduced. After taking antibiotics, will it resolve on its own? 3 how caries is present under feeling? 4. Should I do rct or wait?
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Hi Lybrate-user, with your post ,seems that you've lot of questions ,running in your head, just to ease it, let us take it step by step. 1. If the x-ray been taken ,it's advised for rct, den there should be reason for which it is advised. Nevertheless, Please attach the x-ray in the image for proper evaluation. 2.replacing the old filling will predispose to nerve exposure ,which will ultimately, lead to rct. 3. Cavity below the filling can occur, as with time, there is food lodgement and microleakage, which will pave the way for secondary caries. At last you should be glad that first filling has served you for 8 such long years and now. It's symptomatic ,kindly avail the treatment. Thanks.
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yes it is called secondary caries, once you feel pain on that particular tooth,you may need to go for root canal .because once you get pain means it reaches root and even after pain subside on antibiotic it have a chances to get pain again in future. it is advisable for root canal
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