Cosmetic Dentistry Blog Cosmetic and General Dentistry Questions Answered

July 27, 2017

This is too much sensitivity – you need a root canal


We thank our advertisers who help fund this site.

Dear Dr. Hall:
On June 26, my dentist prepared my cracked tooth number 30 (lower right first molar) for a crown. I had several problems with the temporary crown including very sore gum and pain with biting and cold sensitivity. However, since the pain was not lingering, my dentist placed my permanent crown on July 12. But it didn’t subside and in fact, it got worse. After one week, I visited him again and he took X-ray and did cold test and pressure test. He also knocked at my tooth which was not painful. My tooth was very sensitive to cold but it went away in less than 30 seconds. Also, I didn’t feel pain with pressure test although I felt pain when I bit on hard things. So my dentist said I had to wait and I had high chances to get better. He said sensitivity to pressure is normal even for 30 to 90 days. Now 10 days has passed and from my permanent crown placement, but I don’t see any improvement. Also, today I discovered my tooth is sensitive to hot food too although it doesn’t linger for a long time after the hot food is removed. I think once I realized this sensitivity with that temporary crown but didn’t care about it.
Are these reversible pulpitis symptoms? Does that heat sensitivity show my tooth nerve is dying? How long do you think I must wait before I see an endodontist?
Thanks a lot.
– Bita from Iowa

Bita,
Thanks for the clear description of your symptoms! You told me what kind of pain, what provokes it, and gave me a clear history, which makes it much easier to figure out what is going on with your tooth.
I would call the endodontist today. There are a couple of red flags here and I’d get an expert diagnosis before this tooth gets any worse. It doesn’t look good.
I don’t want to be too critical of your dentist, because I don’t know the whole story of your tooth—just what you’ve told me. But just taking what you’ve told me, some additional caution in your case seems like it would have been wise, and I’ll explain why. It also isn’t normal for a tooth with a new crown to be sensitive to pressure for more than a few days, if the occlusion is adjusted correctly.
First, you had a cracked tooth. A crack can easily involve the pulp of a tooth and by itself can cause a tooth to become infected and the pulp to die.
On top of this, you had significant cold sensitivity after the crown preparation. This could have been due to an incompletely sealed temporary crown, or it could have been due to the extra irritation to which the tooth was subjected from the crown preparation, or a combination of the two. It would have been wise to have coated the tooth with some type of desensitizing product at this point. Maybe that was done.
Also, given those two things, it would have been prudent to have temporarily cemented the crown. This is a lower first molar, so the crown would have to be made out of some strong material that could have been cemented with a soothing type of cement in hopes that it would settle down, or, if it didn’t, to allow easy removal of the crown for root canal treatment. Permanently cementing a crown is usually an additional irritation which can push a borderline tooth over the edge to needing root canal treatment.
So your dentist permanently cemented the crown and the pain got worse. Your sensitivity is headed in the wrong direction and appears that it will end up in irreversible pulpitis, requiring root canal treatment.
And now it is getting sensitive to heat. I wouldn’t go quite so far as to say that it’s absolutely certainly suffering from irreversible pulpitis at this point, but if not, it’s awfully close. The endodontist should be able to tell you for certain. There would be subtle changes in the ligament of the tooth around the end of the root that most general dentists wouldn’t see but the endodontist should.

– Dr. Hall

Do you have a comment or a question or anything else to add? We’d love to hear from you. Enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

January 20, 2017

Tooth with a crown is sensitive to heat


We thank our advertisers who help fund this site.

Dr. Hall,
I have several crowns, some on natural teeth some on implants. I have two crowns next to each other on top and front. The crowns are maybe 20 or 25 years old. 1 week ago I saw my dentist for a cleaning and today I woke with constant strong pain but much worse when sipping coffee warmer than room temperature. My dentist isn’t in for a few days and the pain seems to be growing to include the crown on the tooth next to it. Any ideas?
– Randy from Illinois

Randy,
I’m sorry to have to be the one to give you the bad news, but the pulp of your tooth is dying and it is going to need a root canal.

You have two of the classic symptoms of a dying tooth. Teeth can be sensitive to a number of things, and that sensitivity can sometimes come and go and may not indicate a dying tooth. But if you have strong pain that isn’t provoked, that’s an indication of a dying tooth. Adding to it, your pain is aggravated by heat–a doubly bad sign.

What happens is that an infected pulp will draw in body defenses including white blood cells. The tissue wants to swell, but being in a confined space, it chokes itself and then dies. As it dies, it can sometimes give off gasses. Any warming up of the tooth increases the pressure of those gasses and increases the pain. Cold will cause the gasses to contract and will generally provide relief in this situation.

So what do you do when you have a crown on the tooth that needs a root canal? It isn’t difficult to make an opening in the crown and do the treatment through the crown. However, if I were your dentist, I would want to remove that crown and find out what is going on under it. I would also want to replace the 20-year-old crown on the adjacent tooth, because something similar may be happening to that tooth.

Why is this happening? There are several possibilities. One is that decay has gotten in under the crown. This can happen through a leaky margin that your dentist didn’t catch or maybe did see but didn’t attach enough significance to it. Another could be that the tooth has become irritated through exposed root surface.

– Dr. Hall

Do you have a comment or a question or anything else to add? We’d love to hear from you. Enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

January 12, 2016

The tooth extraction site is sensitive to warm food

We thank our advertisers who help fund this site.
.

Dr. Hall,
I had an oral surgeon remove a wisdom tooth. About 2 weeks later I shoveled snow in 20 degree temps for about 3 hours. The tooth site felt a bit achey. Now, a week later the site still seems achey and now seems very sensitive to warm-hot food. The extraction site appears very healthy. Is there anything I might need to attend to or check? Thank you so much for your time and attention.
– Tia from Michigan

Tia,
It’s normal for an extraction site to start to ache after physical exertion, if you’ve had a recent extraction, especially for a wisdom tooth. However, the sensitivity to heat is a different matter.

I get these reports of an tooth extraction site being sensitive to cold or air after an extraction and almost always it’s the adjacent tooth, and I suspect that’s what is happening in your case. Sometimes extractions will cause the root of an adjacent tooth to become exposed and that tooth with the exposed root will become sensitive. Sensitivity to cold wouldn’t be much concern especially if it’s mild, but sensitivity to heat could potentially be a serious problem in that tooth. I’d have it checked.

When a tooth becomes irritated, it will often become sensitive to cold. If that irritation persists without getting resolved, the tooth can become sensitive to heat. That happens when the pulp tissue inside the tooth begins to die. In the process of dying, it gives off gasses. Heat causes those gasses to want to expand, but since they’re confined inside the tooth, there is no where to expand and that causes pain.
– Dr. Hall

Do you have a comment? We’d love to hear from you. Enter your comment below.

Click here to ask Dr. Hall a question of your own.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

June 16, 2011

How can I tell if a tooth is infected?

A week ago, I answered a question from a woman named Cortney who had a sensitive tooth, was pregnant, and her dentist, who had originally told her that the tooth had only a small cavity which he then filled, now told her that she needed a root canal treatment. I heard back from Cortney with a follow-up question.

Click here to read the original post, “It was a small cavity, now he says I need a root canal!”

Here’s the new question:
Thank you Dr Hall. That was very helpful 🙂 I will “like” you on facebook. I totally agree with your assessment of this dentist. Lastly, how will I know if the tooth has become infected and not just cold/air sensitive? Will I have fever/swelling to the area? Can they tell only on xray? Just want to make sure that if I wait, unknown infection won’t spread to my unborn child. Thank you so much!
– Cortney from Maryland

Cortney,
You won’t have to worry about any infection spreading if it is cold and/or air sensitive. The sensitivity indicates that the tooth is still alive, and thus any infection that there may be would be slight and thus confined to the tooth.

There are ways to tell if a tooth will recover from sensitivity or not. If the sensitivity is gradually getting better or staying the same, that is a good sign. If the sensitivity is such that the tooth hurts only while it is cold and as soon as the tooth warms up it feels better, that’s a good sign. If the pain lingers for, say, 30 seconds after a cold stimulus or air, that’s a bad sign and indicates that the sensitivity is irreversible. If the tooth gets so that it begins to hurt without any cold or air stimulus, in other words the sensitivity is spontaneous, that’s also an indication that the tooth will probably not get better, and that would be the point where you would say that it needs a root canal treatment.

Congratulations on your pregnancy, and good luck,
Dr. Hall

Read Cortney’s thank you.

 

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

June 9, 2011

It was a small cavity – now he says I need a root canal!

Hello Dr. Hall,
I am 24 weeks pregnant and have been dealing with my upper right second molar for some time. I went to the dentist before I was pregnant to get a thorough cleaning and exam and found out there was small decay in that tooth. I had the cavity filled but the dentisit did not use novocaine and he said the very small filling went deeper than he thought.

Well, since that time back in September I have had periods of cold sensitivity and air sensitivity. I went back and he said it needs a root canal. My question for you is whether I can wait to have this procedure done until after delivery in 3 months? I am very cautious during pregnancy and would like to avoid procedures/xrays if at all possible. How do I know if my tooth is infected or just sensitive? It only hurts when provoked by air and cold fluids. Need your advice for helping me discern what is right for me and my child. Don’t want any unknown infection to spread to my unborn child. Thanks!
– Courtney from Maryland

Cortney,

Based on what you have told me, I am skeptical of this dentist for two main reasons:
1. The story of the decay on this tooth doesn’t make sense. First you say he said it was such a small cavity that it didn’t need novocain. Now that doesn’t make sense in itself. If it is truly a cavity, it goes into the dentin of the tooth, and cleaning it out will hurt. And then you never know exactly how much it will spread out once it’s in the dentin. I never suggested to a patient that a cavity was so small that it didn’t need novocain – I just gave the injection unless they objected.
2. Anyway, he admits he misjudged it, and then it starts being sensitive to cold and air. If it truly does need a root canal now, that means that the cavity was huge. Doesn’t make sense. And if it’s only sensitive to air and cold, and only sometimes, well there are several possible causes for that besides having a huge cavity in the tooth, so I question whether or not you need a root canal. Or was something done wrong during the process of putting in the filling, and that’s why it’s sensitive?

Anyway, all of this just doesn’t add up. Now I can’t examine your tooth to tell you for sure, but just trying to go from what you’re telling me you don’t need a root canal at all, much less right away.

I would get a second opinion. A quality second opinion from a really good dentist.

Yes, you want to avoid any major dental work in the last trimester of pregnancy, so that’s a factor, too. But then if the tooth is indeed infected, that will not be good for your baby and you’ll want to get that taken care of, which means you should get the root canal treatment. If you do need an x-ray to properly diagnose this, and you have a lead apron on, I’ve tested that and if the lead apron covers your tummy, the baby gets no radiation exposure. That has to be your call. But my advice would be to get a second opinion, put on the lead apron and have them take an x-ray if they need to, and test the tooth, and see.

Good luck,
Dr. Hall

Follow-up comments and question from Cortney – How can I tell if a tooth is infected?

Other links:
Ask the dentist a question.
Read another post where we discuss getting a root canal treatment while pregnant.
Read more about teeth that are sensitive after a filling.

 

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

April 27, 2011

A painful temporary bridge

Filed under: Teeth sensitivity — mesasmiles @ 1:52 pm

Hi, Dr. Hall,
I’ve had a bridge on tooth#s 18, 19, 20 for 7 yrs now. I haven’t had any pain with it.

Now, 2 weeks back, I went to the dentist. He told me to replace the bridge. I got the treatment, he removed the old bridge, and put a temporary bridge on. Since then I am having continous pain on that side; I am on motrin every 8hrs, pain is consistent and it is spread to the whole side, even the jaw. Sometimes it feels more when I speak or open my mouth, so he checked and said x-rays are ok. Gums are mildly inflamed, everything looks ok, he doesnot know why pain is so severe and continous.

So he refered for 2nd opinion to an endodontist, whom i have to see yet. Please give your suggestion what it could be?

Thanks a lot.
– Sami from California

Dear Sami,
It’s not unusual for teeth to be sensitive after they’ve been prepared for crowns or bridgework or while you’re wearing a temporary crown or a temporary bridge, and there are several possible sources of this sensitivity.

The teeth can be sensitive merely from having been worked on. A bridge generally consists of two teeth with crowns on them and one or two false teeth suspended between them. And to place a crown requires shaving those to teeth down one to two millimeters on each side and on the top. It can been fairly traumatic for a tooth, and can cause it to ache or to be quite sensitive to hot and cold foods, air, or other potentially painful stimuli. Now your teeth were initially prepared for bridges seven years ago. Removing the old bridge and preparing for a new bridge would be traumatic to the teeth, but the trauma is much less than what happened seven years ago.

The teeth could be irritated by bacteria. You didn’t tell me the reason for needing the new bridge. If there was decay underneath either or both of the abutments, the bacteria could have been pushed down into the teeth through the porous dentin, and these could be causing irritation.

The temporary bridge could be not covering the prepared teeth completely. If there is an area of dentin exposed and not covered, your saliva, air, or substances in the food you eat could be irritating the teeth.

The temporary bridge could be not fitting into your bite well. If this is the case, you could be hitting extra hard on these teeth when you move your jaw, which will make them ache.

The temporary bridge could be irritating the gums around the prepared teeth.

If the teeth are extremely sensitive to hot and cold stimuli but not too much to biting on them, the cause is likely to be one of the first three I listed. If they are more sensitive to biting, but not so sensitive to hot and cold, it is more likely to be one of the latter two reasons.

None of these sensitivities would likely show up on an x-ray in the early stages. And there could be multiple sources of the sensitivity. all adding up.

If your dentist was unable to figure out the cause, referring you to an endodontist (root canal specialist) is appropriate. The teeth could be examined closely, and possibly tested with hot and cold stimuli and tapping tests to get more information about the cause of the sensitivity and to pin down if it is coming from one particular tooth or both of them.

There might be a temptation to delay making the permanent bridge because of this. I would advise, however, to have the permanent bridge made right away and then having it placed with a temporary cement. This could solve the problem, and there is little chance that this would aggravate the teeth more. And the reason for using temporary cement would be to take time to observe the teeth and see if the sensitivity has died down. When and if it does, a careful x-ray examination should show whether or not the sensitivity was too much for the tooth and the living tissue inside the tooth has died. If that has happened, the affected tooth or teeth would required a root canal treatment, which would be much easier to do with the bridge temporarily removed. But I have seen cases of fairly extreme sensitivity completely go away with no lingering effects once the permanent restoration is placed. I had a case like that in my own mouth. It took the tooth a couple of months to settle down, but now it is fine.

Dr. Hall

Links:
Read more about various types of teeth sensitivity: sensitivity to cold, sensitivity to heat, sensitivity to biting, sensitivity to sweets, sensitivity to air. And read about a toothpaste for sensitive teeth.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

October 2, 2010

Probably a simple bite adjustment

Filed under: Fillings,Teeth sensitivity — Tags: , — mesasmiles @ 12:22 am

Dr. Hall,
Hi, I got a tooth filling because of cavities yesterday… Today when I bite down, one tooth at the back of my jaw seems to hit the tooth at the top, (second tooth after the bottom left canine tooth)…I can eat because of this without pain… Whats the problem? Help would be appreciated.
– Zim from California

Zim,
You’re not giving me a lot to go on. I don’t know if this is a white filling or an amalgam filling, a large filling or a small filling. The most like cause, though, of a tooth with a new filling hurting when you bite down, is that the filling is high. I’d call your dentist, tell him or her what you’re experiencing, and hopefully a simple bite adjustment will take care of it.

There are other possibilities, but that’s the most likely.
Dr. Hall

Links:
Click here to read more about pain from a new filling.
Click here to ask the dentist a question.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

May 3, 2010

Pain from teeth bleaching

Filed under: Teeth sensitivity,Tooth whitening — mesasmiles @ 2:07 pm

Hello, I have been using an at-home whitening system for about 2 weeks with no problems. Then yesterday, I used them and I felt a sharp pain that lasted for about 30 seconds The source of the pain was my front tooth which has a dental bond. It was chipped and repaired about 10 years ago. My question is – is my bond nearing the end of its life cycle, or is the whitening weakening the bond? I suspect it is both. Thank You, Kim from Texas

Kim,
I doubt that the tooth bleaching system would weaken the bond on this tooth. Bleaching gel hasn’t been known to weaken bonds like this. Plus, if the bond were weakened, the repair to the chip would probably fall off – it wouldn’t just be this pain.

The kind of pain you experienced can be caused by the bleaching gel on a sensitive part of the tooth. That’s what I would suspect. If this tooth was otherwise injured and repaired, there could be a sensitive place that used to be covered by some bonding agent and that has come off.

Your case is a good illustration of why, when you’re doing teeth bleaching, you need to be under a dentist’s supervision. I assume that you are. You should let the dentist know about this, and hopefully they can find the exact cause of your problem. If it is indeed a sensitive spot, it could be coated with something to take care of the sensitivity, and you can go on with your bleaching. But get this solved before you bleach any more.

– Dr. Hall

Read more about sensitive teeth.
Other links: Chicago porcelain veneers.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

January 4, 2010

How could the dentist diagnose my sensitive tooth so fast?

Filed under: Teeth sensitivity — mesasmiles @ 2:33 pm

Dr. Hall,
I have a molar that has a large filling, it is sensitive to cold, heat and air. I went to see my dentist, he blew some air on it in a couple of different spots, asked if it hurt, and put some desensitizing something or other on it. He said if the pain stayed he would have to remove the nerve. My question is how does he know this in 2 seconds of blowing some air? I currently have braces, could this have something to do with it? I’ve also had another thought of the filling having a hole in it or maybe being thin, could this cause the sensitivity? My dentist is very impersonal, very quick no time for questions, he does what he thinks he needs to do and that’s it, he’s gone.
– Laurie in North Dakota

Dear Laurie,
Sometimes these pain issues are very clear and sometimes they are fuzzy and take time. From what you’re telling me, yours was fairly clear.

If you blow air on a tooth and it hurts, that indicates that there is some unprotected, sensitive spot on the tooth, which can be helped by coating the tooth with a desensitizing bonding agent. If the pain is transient—it hurts for a moment and the pain goes away immediately, that’s a sign that the nerve or the pulp of the tooth is irritated, but that it could potentially heal. If, on the other hand, the air provokes pain and the pain lingers for more than a few seconds, then the irritation of the pulp or nerve is irreversible—it will not heal on its own and will require root canal treatment.

The tooth can also be tested with cold, with heat, or with electrical impulses, depending on the situation.

I don’t know the situation in your mouth, so whether this has something to do with braces or not, I couldn’t tell. That would be unlikely, but possible.

I wouldn’t think that the filling being thin would cause this sensitivity. You said the filling is large, so it would be more likely that there could be some leaking around the filling, or decay under it. Again, I don’t know what your filling looks like other than your saying it is large, so there might be reasons your dentist didn’t think these were possibilities that should be checked.

As far as your dentist not staying around to answer your questions, if I were in your shoes I would call the office and say I needed to ask some questions, and if the doctor didn’t have time for my questions I would have to find another dentist. That would almost certainly get you some attention. I would actually probably say that while I was still in the office and the assistant was dismissing me. Health care is built on trust, and the two pillars of trust are the knowledge of the doctor and the caring of the doctor. One without the other doesn’t lead to good care.

– Dr. Hall

Other links:
Click here to read about tooth sensitivity from various causes.
Click here to read about why a tooth is sensitive to cold.

We thank our advertisers who help fund this site.

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

October 31, 2009

Sensitivity to Cerec Crown

Filed under: Dental crowns,Teeth sensitivity — Tags: , — mesasmiles @ 9:24 am

Dr. Hall,
Some months ago I went to my dentist with sensitivity in one of my molars to hot, cold, and pressure. It was agreed that a Cerec crown would be sculpted to replace the offending tooth. An appointment was made for several months later. The appointment was for middle of July. I was very impressed. Several days later I was still experiencing a high degree of discomfort still with hot and cold and pressure. I came in so he could “ease the crown”. It was better but still very sensitive to everything. He assured me that a root canal was not necessary. (This dentist was awarded the young dentist of the year in the UK two years ago.) I was called two weeks later and advised that I should give it another 8 weeks. By now I was going on holidays. During my holiday the pain became excruciating spreading to my entire jaw and creating radiating pain in the adjoining tooth. So much so that I had to buy pain killers. I took these for the duration of the holiday! I am now back 2 weeks, have stopped taking the painkillers and gradually the discomfort has disappeared. Lately, last few days, I can chew hard foods again, toast, nuts etc with the afflicted tooth. Hot and cold is not a problem anymore but I cannot understand it. I have had an ordinary crown applied before with no such problems, it was instant relief. it leads me to suspect that there is something else about “Cerec” crowns that I have not been told. Now it is still slightly sensitive but improving everyday and it would seem that the 8 weeks was an accurate prognosis. Hve you an explanation or clarification. Thank you for taking the time to read nd reply. Yours sincerely,
Erick in Ireland

Erick,

I would have the tooth x-rayed by a different dentist. It’s worth checking to see if the tooth is okay or not.

A Cerec crown is an excellent option. I have one myself. That isn’t the issue here. I’m just not sure why a crown would be prescribed for a tooth that is sensitive to hot and cold. That kind of sensitivity occurs because a tooth is irritated, and a crown preparation is additional irritation. Generally, if I saw a sensitive tooth and it also needed a crown, I would first remove the old filling and any possible decay, and then put some bonded buildup material or glass ionomer and wait to see if the tooth settled down. That buildup would serve as a core for the crown once the tooth settled down. If the pain persisted or got worse, the tooth would need a root canal treatment.

It could be that the pulp tissue in the tooth has died, and this is why it is now feeling better. When a tooth is sensitive to hot and cold, it is irritated. When the tooth starts hurting with intensity all on its own, it’s a reliable indication that it is infected and needs a root canal treatment. It will then get better only when the pulp tissue dies. After that, it may be sensitive off and on to biting, or may not be sensitive at all.

I am not impressed with awards like “dentist of the year” unless I know the integrity of the awarding organization and then maybe the selection process.

Dr. Hall

About David A. Hall

Dr. David Hall was one of the first 40 accredited cosmetic dentists in the world. He practiced cosmetic dentistry in Iowa, and in 1990 earned his accreditation with the American Academy of Cosmetic Dentistry. He is now president of Infinity Dental Web, a company in Mesa, Arizona that does complete Internet marketing for dentists.

Older Posts »

Powered by WordPress

Follow

Follow this blog

Get every new post delivered right to your inbox.

Email address

Categories